Richard Girard Larson JR. LCPC

NPI 1043286370 - Counselor - 101YP2500X

NPI Details
NPI 1043286370
Gender Male
Enumeration Date 02/27/2006
Last Updated 11/09/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1039 COLLEGE AVE.
STE. F
WHEATON IL, 60187, US
Phone (331) 551-2224
Fax (815) 642-4304
Business Location
719 LYNWOOD LANE
WHEATON IL, 60189-6308, US
Phone (331) 551-2224
Fax (815) 642-4304
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180003363
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According to our database, Dr. Richard Girard Larson JR. LCPC NPI is 1043286370, taxonomy code is 101YP2500X and license number is 180003363, license state is located at Illinois. Richard Girard Larson JR. LCPC physically located at 1039 College Ave., Wheaton IL, 60187. NPI Number Richard Girard Larson JR. LCPC has the Individual type.

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1043286370 NPI number is provided on an as is basis without warranty of any kind. 1043286370 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Girard Larson JR. LCPC are for informational purposes only.