person
Mr. Shane Michael Larson, MS,LPC-MH
Addiction (Substance Use Disorder) Counselor in Watertown, South Dakota
NPI 1679655856

Shane Michael Larson is an Addiction (Substance Use Disorder) Counselor based in Watertown, SD and is specialized in Addiction (Substance Use Disorder). Shane Michael Larson practices in Watertown, SD and has the professional credentials of MS,LPC-MH. The NPI Number for Shane Michael Larson is 1679655856 and holds a License No. LPCMH2210 (South Dakota).

The current practice location address for Shane Michael Larson is 100 S Maple, Watertown, SD and can be reached out via phone at 605-520-0157.

Location: 100 S Maple, Watertown, SD, 57201-6131
person
Provider Profile Details
NPI Number
1679655856
Provider Name
Shane Michael Larson
Credential
MS,LPC-MH
Provider Entity Type
Individual
Gender
Male
Address
100 S Maple, Watertown, SD, 57201-6131
Phone Number
605-520-0157
Fax Number
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5200010 05 SD
institution
Provider Business Practice Location Address Details
Address
100 S Maple
City
State
Zip
57201-3678
Phone Number
605-520-0157
Fax Number
person
Provider Business Mailing Address Details
Address
100 S Maple
City
State
Zip
57201-3678
Phone Number
605-520-0157
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPCMH2210 (South Dakota)
Definition
Definition to come...
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