Larson Dbt Counseling Services PLLC
Psychologist, Counseling in Caledonia, MI. Organization (NPI-2).
NPI number1043775729
StatusActive
Last updated in NPPESJan 27, 2023
Details
- NPI
- 1043775729
- Entity type
- Organization (NPI-2)
- Legal business name
- Larson Dbt Counseling Services PLLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2019
- Certification date
- Jan 27, 2023
- Last updated
- Jan 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | – | – | Yes |
Practice location
7150 Kalamazoo Ave SeSuite C
Caledonia, MI 49316
Phone 616-780-1289
Mailing address
7150 Kalamazoo Ave SeSuite C
Caledonia, MI 49316
Authorized official
Amanda Larson
Owner
6167801284
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