Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE MICHAEL LARSON, M.S., LPC-MH
Active Sole ProprietorProfessional Counselor · WATERTOWN, SD
Registration Details
- NPI Number
- 1679655856
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.525584172355 yrs)
- Last Updated
- Apr 24, 2017
- License
-
LPCMH2210 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 S MAPLESUITE 204WATERTOWN, SD, 572013678Browse SD providers · Browse ZIP 57201
- Phone
- 6055200157
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Professional Counselor Providers in WATERTOWN, SD
| Name | Credential | NPI |
|---|---|---|
| MS. LORI ANN REDLINGER | L.P.C. | 1528253796 |
| PAMALA TOPP | LPC | 1902226962 |
| JENNIFER D GUEST | MS, LPC | 1336617604 |
| BRANDEE GRACE BLY | MS, NCC, LPC | 1740965037 |
| KRISTINA CLOUTIER | LPC | 1538932314 |
| MATT RAY GAUGER | LPC | 1184493793 |
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.