person
Mr. David Larson, LADC
Addiction (Substance Use Disorder) Counselor in Maple Grove, Minnesota
NPI 1912329301

David Larson is an Addiction (Substance Use Disorder) Counselor based in New Brighton, MN and is specialized in Addiction (Substance Use Disorder). David Larson practices in Maple Grove, MN and has the professional credentials of LADC. The NPI Number for David Larson is 1912329301 and holds a License No. 300922 (Minnesota).

The current practice location address for David Larson is 13603 80Th Cir N, Maple Grove, MN and can be reached out via phone at 763-416-1489 and via fax at 763-416-3957. You can also correspond with David Larson through the mailing address at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN - 55112-1786 (mailing address contact number: 651-379-1718).

Location: 13603 80Th Cir N, Maple Grove, MN, 55112-1786
person
Provider Profile Details
NPI Number
1912329301
Provider Name
David Larson
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
13603 80Th Cir N, Maple Grove, MN, 55112-1786
Phone Number
763-416-1489
Fax Number
763-416-3957
Provider Enumeration Date
01/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13603 80Th Cir N
City
State
Zip
55369-8961
Phone Number
763-416-1489
Fax Number
763-416-3957
person
Provider Business Mailing Address Details
Address
1900 Silver Lake Rd Nw
City
State
Zip
55112-1786
Phone Number
651-379-1718
Fax Number
651-379-1738
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300922 (Minnesota)
Definition
Definition to come...
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