Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHON EUGENE LARSON, ED.D., CRC, LCPC
Active Sole ProprietorDR. JONATHON EUGENE LARSON, ED.D., CRC, LCPC is a Professional Counselor healthcare provider located in BEACH PARK, Illinois. NPI 1629297098 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BEACH PARK, IL
Registration Details
- NPI Number
- 1629297098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.126293652845 yrs)
- Last Updated
- Dec 16, 2016
- License
-
180.0064665 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11316 W WADSWORTH RDSUITE 102BEACH PARK, IL, 60099Browse IL providers · Browse ZIP 60099
- Phone
- 2242160095
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in BEACH PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MS. CATHERINE ANN VALENTINE | LCPC | 1205062593 |
| MARY ROBERSON | LCPC, EDD | 1902296502 |
| DANICA JENICE CORANEZ MALO | LPC | 1790222081 |
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.