Larson, Annette Marie

Larson, Annette Marie is an sole proprietor health care provider with primary practice located at 199 Coon Rapids Blvd Nw Suite 310, Coon Rapids MN 55433-5831. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Larson, Annette Marie can be contacted via phone (763) 785-8111.

Contact Information

Primary practice address
199 Coon Rapids Blvd Nw Suite 310 Coon Rapids MN 55433-5831
Phone: (763) 785-8111
Fax: (763) 785-8111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303923 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 01859 Minnesota

Profile Details

NPI number 1174972715
LBN Legal business name Larson, Annette Marie
Credentials M.A., L.P.C., LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2016
Last updated Jun 5th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174972715 NPPES
Minnesota Other 01859 MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY,LICENSED PROFESSIONAL COUNSELOR
Minnesota Other 7078 MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY,LICENSED PROFESSIONAL COUNSELOR
Minnesota Other 303923 MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY,LICENSED PROFESSIONAL COUNSELOR

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