Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LARSEN
Active Sole ProprietorKELLY LARSEN is a Counselor healthcare provider located in LUCERNE, California. NPI 1073851093 is currently active in the NPPES registry. Verify at CMS.
Counselor · LUCERNE, CA
Registration Details
- NPI Number
- 1073851093
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2013 (13.539363701969 yrs)
- Last Updated
- Jan 25, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
6302 THIRTEENTH AVENUELUCERNE, CA, 95458Browse CA providers · Browse ZIP 95458
- Phone
- 7072749101
- Fax
- 7072749192
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in LUCERNE, CA
| Name | Credential | NPI |
|---|---|---|
| JEANETTE NICOLE LAIRD | — | 1376804435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.