Candace H Larson Valid NPI
Individual provider · Mental Health Counselor · Jamestown, NY
- NPI
- 1477748317
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 001774 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-09-13
- Last updated
- 2007-09-13
Practice location
344 E 4th St
Jamestown, NY 14701-5502
(716) 661-1590