Kristen Leigh Larsen, ATR, LPC, LAT
Counselor, Professional in Portland, OR. Individual provider (NPI-1).
NPI number1164094462
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1164094462
- Entity type
- Individual (NPI-1)
- Name
- Kristen Leigh Larsen
- Credential
- ATR, LPC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2021
- Certification date
- Jul 15, 2021
- Last updated
- Jul 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C3717 | OR | Yes |
Practice location
13169 Se River RdPortland, OR 97222-9702
Phone 503-652-6633
Mailing address
13169 Se River RdPortland, OR 97222-9702
Phone 503-652-6633
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