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Phyllis Larson, LPC
Professional Counselor in Jefferson City, Missouri
NPI 1891732707

Phyllis Larson is a Professional Counselor based in Jefferson City, MO and is specialized in Professional. Phyllis Larson practices in Jefferson City, MO and has the professional credentials of LPC. The NPI Number for Phyllis Larson is 1891732707 and holds a License No. 434 (Missouri).

The current practice location address for Phyllis Larson is 1432 Southwest Blvd, Jefferson City, MO and can be reached out via phone at 573-632-5560 and via fax at 573-632-5875. You can also correspond with Phyllis Larson through the mailing address at 1432 SOUTHWEST BLVD, JEFFERSON CITY, MO - 65109 (mailing address contact number: 573-632-5560).

Location: 1432 Southwest Blvd, Jefferson City, MO, 65109
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Provider Profile Details
NPI Number
1891732707
Provider Name
Phyllis Larson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1432 Southwest Blvd, Jefferson City, MO, 65109
Phone Number
573-632-5560
Fax Number
573-632-5875
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
166304 01 MO BCBS
493531677 05 MO
institution
Provider Business Practice Location Address Details
Address
1432 Southwest Blvd
City
State
Zip
65109
Phone Number
573-632-5560
Fax Number
573-632-5875
person
Provider Business Mailing Address Details
Address
1432 Southwest Blvd
City
State
Zip
65109
Phone Number
573-632-5560
Fax Number
573-632-5875
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
434 (Missouri)
Definition
Definition to come...
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