MRS. DEBORAH DIANE LARSON LADC NPI 1588954812

NPI Information

  • NPI: 1588954812
  • Provider Name: MRS. DEBORAH DIANE LARSON, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 645 3RD AVE SW
    PINE CITY, MN
    ZIP 55063
  • Phone: (320) 629-1362

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NPI Details

MRS. Deborah Diane Larson, LADC is an addiction (substance use disorder) counselor in Pine City, MN. MRS. Deborah Diane Larson, LADC NPI is 1588954812. 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:

645 3RD AVE SW
PINE CITY, MN
ZIP 55063-468
Phone: (320) 629-1362
Fax: (320) 629-3454

The enumeration date for this NPI number is 4/7/2011 and was last updated on 4/7/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)301810MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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