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Kelly Lyn Larsen
Mental Health Counselor in Livingston, Texas
NPI 1902480676

Kelly Lyn Larsen is a Mental Health Counselor based in Livingston, TX and is specialized in Mental Health. Kelly Lyn Larsen practices in Livingston, TX. The NPI Number for Kelly Lyn Larsen is 1902480676 and holds a License No. 77195 (Texas).

The current practice location address for Kelly Lyn Larsen is 2200 S Washington Ave, Livingston, TX and can be reached out via phone at 936-933-2770.

Location: 2200 S Washington Ave, Livingston, TX, 77351-1267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902480676
Provider Name
Kelly Lyn Larsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
2200 S Washington Ave, Livingston, TX, 77351-1267
Phone Number
936-933-2770
Fax Number
Provider Enumeration Date
05/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2200 S Washington Ave
City
Livingston
State
Texas
Zip
77351-4058
Phone Number
936-933-2770
Fax Number
person
Provider Business Mailing Address Details
Address
2200 S Washington Ave
City
Livingston
State
Texas
Zip
77351-4058
Phone Number
936-933-2770
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
77195 (Texas)
Definition
Definition to come...
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