person
Lily Rose Larson
Addiction (Substance Use Disorder) Counselor in Bloomington, Minnesota
NPI 1932722592

Lily Rose Larson is an Addiction (Substance Use Disorder) Counselor based in Ramsey, MN and is specialized in Addiction (Substance Use Disorder). Lily Rose Larson practices in Bloomington, MN. The NPI Number for Lily Rose Larson is 1932722592 and holds a License No. 305897 (Minnesota).

The current practice location address for Lily Rose Larson is 1101 E 78Th St, Bloomington, MN and can be reached out via phone at 952-234-6860. You can also correspond with Lily Rose Larson through the mailing address at 5790 145TH CT NW, RAMSEY, MN - 55303-5684 (mailing address contact number: ).

Location: 1101 E 78Th St, Bloomington, MN, 55303-5684
person
Provider Profile Details
NPI Number
1932722592
Provider Name
Lily Rose Larson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1101 E 78Th St, Bloomington, MN, 55303-5684
Phone Number
952-234-6860
Fax Number
Provider Enumeration Date
05/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 E 78Th St
City
State
Zip
55420-1400
Phone Number
952-234-6860
Fax Number
person
Provider Business Mailing Address Details
Address
1101 E 78Th St
City
State
Zip
55420-1400
Phone Number
952-234-6860
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305897 (Minnesota)
Definition
Definition to come...
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