Larson, Colette

Larson, Colette is an sole proprietor health care provider with primary practice located at 4633 Aicholtz Rd. , Cincinnati OH 45244-4524. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Larson, Colette can be contacted via phone (513) 752-1555.

Contact Information

Primary practice address
4633 Aicholtz Rd. Cincinnati OH 45244-4524
Phone: (513) 752-1555
Fax: (513) 752-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1841627502
LBN Legal business name Larson, Colette
Credentials MSW, LISW-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2013
Last updated Mar 17th, 2018 - about 8 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 1841627502 NPPES
Ohio MEDICAID 31-0952668

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