Fossum, Larissa Isabelle

Fossum, Larissa Isabelle is an individual health care provider with primary practice located at 101 W 2Nd St , Duluth MN 55802-2086. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fossum, Larissa Isabelle can be contacted via phone (218) 724-3122.

Contact Information

Primary practice address
101 W 2Nd St Duluth MN 55802-2086
Phone: (218) 724-3122
Fax: (833) 933-0639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1487438081
LBN Legal business name Fossum, Larissa Isabelle
Credentials BEHAVIORAL TECH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2023
Last updated Aug 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers