Jonathon Eugene Larson ED.D., CRC, LCPC

NPI 1629297098 - Counselor - 101YP2500X

NPI Details
NPI 1629297098
Gender Male
Enumeration Date 04/24/2007
Last Updated 05/09/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1800 NATIONS DR
SUITE 202
GURNEE IL, 60031-9168, US
Phone (224) 717-9422
Fax (262) 997-1083
Business Location
920 WASHINGTON AVENUE
WINTHROP HARBOR IL, 60096, US
Phone (224) 717-9422
Fax (262) 997-1083
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180.0064665
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According to our database, Dr. Jonathon Eugene Larson ED.D., CRC, LCPC NPI is 1629297098, taxonomy code is 101YP2500X and license number is 180.0064665, license state is located at Illinois. Jonathon Eugene Larson ED.D., CRC, LCPC physically located at 1800 Nations Dr, Gurnee IL, 60031-9168. NPI Number Jonathon Eugene Larson ED.D., CRC, LCPC has the Individual type.

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1629297098 NPI number is provided on an as is basis without warranty of any kind. 1629297098 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathon Eugene Larson ED.D., CRC, LCPC are for informational purposes only.