person
Mrs. Debra Johnston Larson, LCSW
Mental Health Counselor in Neenah, Wisconsin
NPI 1851673297

Debra Johnston Larson is a Mental Health Counselor based in Neenah, WI and is specialized in Mental Health. Debra Johnston Larson practices in Neenah, WI and has the professional credentials of LCSW. The NPI Number for Debra Johnston Larson is 1851673297 and holds a License No. 19-123 (Wisconsin).

The current practice location address for Debra Johnston Larson is 1370 S Commercial St, Neenah, WI and can be reached out via phone at 920-722-8150 and via fax at 920-722-0142. You can also correspond with Debra Johnston Larson through the mailing address at 1370 S COMMERCIAL ST, NEENAH, WI - 54956-4636 (mailing address contact number: 920-722-8150).

Location: 1370 S Commercial St, Neenah, WI, 54956-4636
person
Provider Profile Details
NPI Number
1851673297
Provider Name
Debra Johnston Larson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1370 S Commercial St, Neenah, WI, 54956-4636
Phone Number
920-722-8150
Fax Number
920-722-0142
Provider Enumeration Date
09/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19-123 01 WI WISCONSIN LICENSE LCSW
institution
Provider Business Practice Location Address Details
Address
1370 S Commercial St
City
State
Zip
54956-4636
Phone Number
920-722-8150
Fax Number
920-722-0142
person
Provider Business Mailing Address Details
Address
1370 S Commercial St
City
State
Zip
54956-4636
Phone Number
920-722-8150
Fax Number
920-722-0142
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
19-123 (Wisconsin)
Definition
Definition to come...
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