Kimberly Larson
Rehabilitation Practitioner Mental Health Counselor
404 Lincoln Blvd
Venice
, California 90291-2829
Kimberly Larson
Rehabilitation Practitioner Mental Health Counselor
404 Lincoln Blvd
Venice
, California 90291-2829
(503) 228-7134
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About
Features
Specialties
- Mental Health Counselor
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Kimberly Larson
- 33 Nw Broadway
- Portland, OR
- Zip : 97209-3580
- Phone : (503) 228-7134
Second Address
- Kimberly Larson
- 404 Lincoln Blvd
- Venice, CA
- Zip : 90291-2829
- Phone : (310) 399-6878
Reviews
FAQs
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What type of doctor is Kimberly Larson
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What is Kimberly Larson ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | ||
| N | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1033430822 |
|---|---|
| Provider Name | Kimberly Larson |
| First Address | Portland, OR 97209-3580 |
| Second Address | Venice, CA 90291-2829 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2010 |
| Last Update Date | 22/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.