person
Mr. John Bryon Larsen, BS
Mental Health Counselor in Toledo, Oregon
NPI 1790924264

John Bryon Larsen is a Mental Health Counselor based in Toledo, OR and is specialized in Mental Health. John Bryon Larsen practices in Toledo, OR and has the professional credentials of BS. The NPI Number for John Bryon Larsen is 1790924264 and holds a License No. (Oregon).

The current practice location address for John Bryon Larsen is 805 Ne Reservoir Ln, Toledo, OR and can be reached out via phone at 541-336-2254 and via fax at 541-336-1803.

Location: 805 Ne Reservoir Ln, Toledo, OR, 97391-1335
person
Provider Profile Details
NPI Number
1790924264
Provider Name
John Bryon Larsen
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
805 Ne Reservoir Ln, Toledo, OR, 97391-1335
Phone Number
541-336-2254
Fax Number
541-336-1803
Provider Enumeration Date
02/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
93-0698327 01 OR PRIVATE NONPROFIT
institution
Provider Business Practice Location Address Details
Address
805 Ne Reservoir Ln
City
State
Zip
97391-1335
Phone Number
541-336-2254
Fax Number
541-336-1803
person
Provider Business Mailing Address Details
Address
805 Ne Reservoir Ln
City
State
Zip
97391-1335
Phone Number
541-336-2254
Fax Number
541-336-1803
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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