ANGELA G LARSON NPI 1063010130

NPI Information

NPI: 1063010130
Provider Name: ANGELA G LARSON
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1211 MERRIAM ST
DAVENPORT, WA
ZIP 99122
Phone: (509) 725-3001
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Angela G Larson is a counselor in Davenport, WA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Angela G Larson NPI is 1063010130. 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:

1211 MERRIAM ST
DAVENPORT, WA
ZIP 99122-654
Phone: (509) 725-3001
Fax: (509) 725-1609

The enumeration date for this NPI number is 10/12/2020 and was last updated on 10/12/2020.

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
1	101Y00000X	Counselor		MC61099017	WASHINGTON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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