NPI 1073275053
Jaime L Larson
Practice location
- Address
- 2160 60th Ave NE, Willmar, MN 56201
- Phone
- (507) 299-0436
- Mailing address
- 7800 County Road 5 NW, Willmar, MN 56201-9793
Registered specialties (2)
Mental Health Counselor
Primary
Counselor
Registry record
- NPI
- 1073275053
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Oct 2021
- Record last updated
- 7 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.