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Sasha Nicole Larson
Mental Health Counselor in Gainesville, Florida
NPI 1831895937

Sasha Nicole Larson is a Mental Health Counselor based in Gainesville, FL and is specialized in Mental Health. Sasha Nicole Larson practices in Gainesville, FL. The NPI Number for Sasha Nicole Larson is 1831895937 and holds a License No. MH21851 (Florida).

The current practice location address for Sasha Nicole Larson is 2720 Nw 6Th St, Gainesville, FL and can be reached out via phone at 352-649-3876.

Location: 2720 Nw 6Th St, Gainesville, FL, 32608-3252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831895937
Provider Name
Sasha Nicole Larson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2720 Nw 6Th St, Gainesville, FL, 32608-3252
Phone Number
352-649-3876
Fax Number
Provider Enumeration Date
02/01/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH21851 01 FL LICENSED MENTAL HEALTH COUNSELOR
institution
Provider Business Practice Location Address Details
Address
2720 Nw 6Th St
City
Gainesville
State
Florida
Zip
32609-2994
Phone Number
352-649-3876
Fax Number
person
Provider Business Mailing Address Details
Address
2720 Nw 6Th St
City
Gainesville
State
Florida
Zip
32609-2994
Phone Number
352-649-3876
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH21851 (Florida)
Definition
Definition to come...
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