MR. Ethan Tavis Larsen, MSW is a mental health counselor in Northfield, IL. MR. Ethan Tavis Larsen, MSW NPI is 1548915382. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
405 CENTRAL AVE
NORTHFIELD, IL
ZIP 60093-006
Phone: (847) 441-5600
The enumeration date for this NPI number is 2/21/2022 and was last updated on 2/21/2022.