Clairissa Larry, LPCC
Counselor, Professional in West Hills, CA. Individual provider (NPI-1).
NPI number1861925166
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1861925166
- Entity type
- Individual (NPI-1)
- Name
- Clairissa Larry
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2017
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 14921 | CA | Yes |
Practice location
7852 Ducor AveWest Hills, CA 91304-4550
Phone 216-256-9936
Mailing address
7852 Ducor AveWest Hills, CA 91304-4550
Phone 216-256-9936
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