STEPHANIE LARSON NPI 1013482264

NPI Information

Stephanie Larson is a mental health counselor in Green Bay, WI. Stephanie Larson NPI is 1013482264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1499 SIXTH STREET
GREEN BAY, WI
ZIP 54304
Phone: (920) 497-6161
Fax: (920) 498-0476

The enumeration date for this NPI number is 10/3/2018 and was last updated on 10/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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