person
Mrs. Diantha Jean Larson, CCDCT
Addiction (Substance Use Disorder) Counselor in Watertown, South Dakota
NPI 1669467577

Diantha Jean Larson is an Addiction (Substance Use Disorder) Counselor based in Watertown, SD and is specialized in Addiction (Substance Use Disorder). Diantha Jean Larson practices in Watertown, SD and has the professional credentials of CCDCT. The NPI Number for Diantha Jean Larson is 1669467577 and holds a License No. 3085 (South Dakota).

The current practice location address for Diantha Jean Larson is 123 19Th St Ne, Watertown, SD and can be reached out via phone at 605-886-0123 and via fax at 605-886-5447.

Location: 123 19Th St Ne, Watertown, SD, 57201-6030
person
Provider Profile Details
NPI Number
1669467577
Provider Name
Diantha Jean Larson
Credential
CCDCT
Provider Entity Type
Individual
Gender
Female
Address
123 19Th St Ne, Watertown, SD, 57201-6030
Phone Number
605-886-0123
Fax Number
605-886-5447
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
123 19Th St Ne
City
State
Zip
57201-2823
Phone Number
605-886-0123
Fax Number
605-886-5447
person
Provider Business Mailing Address Details
Address
123 19Th St Ne
City
State
Zip
57201-2823
Phone Number
605-886-0123
Fax Number
605-886-5447
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3085 (South Dakota)
Definition
Definition to come...
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