Larson, Lori Lynn

Larson, Lori Lynn is an individual health care provider with primary practice located at 6692 Merchandise Way Ste. B, Diamond Springs CA 95619-9453. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Larson, Lori Lynn can be contacted via phone (530) 626-2589.

Contact Information

Primary practice address
6692 Merchandise Way Ste. B Diamond Springs CA 95619-9453
Phone: (530) 626-2589
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT36109 California

Profile Details

NPI number 1063637940
LBN Legal business name Larson, Lori Lynn
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 19 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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