PHYLLIS LARSON, LPC

Counselor - Professional

Active Individual
NPI: 1891732707

Practice Address

1432 SOUTHWEST BLVD
Jefferson City, MO 65109

Phone: (573) 632-5560

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 434 (MO)

Frequently Asked Questions

NPI 1891732707 is the National Provider Identifier for PHYLLIS LARSON, LPC, a Counselor - Professional provider located in Jefferson City, MO. This NPI was enumerated on May 31, 2006.
PHYLLIS LARSON, LPC practices at 1432 SOUTHWEST BLVD, Jefferson City, MO 65109.

Quick Facts

NPI
1891732707
Type
Individual
Enumerated
May 31, 2006
Last Updated
Jul 1, 2009