Doriott Larson, Naomi Nicole

Doriott Larson, Naomi Nicole is an sole proprietor health care provider with primary practice located at 12918 63Rd Ave N , Maple Grove MN 55369-6001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Doriott Larson, Naomi Nicole can be contacted via phone (763) 210-9966.

Contact Information

Primary practice address
12918 63Rd Ave N Maple Grove MN 55369-6001
Phone: (763) 210-9966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 619-226 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 4609-125 Wisconsin

Profile Details

NPI number 1609005636
LBN Legal business name Doriott Larson, Naomi Nicole
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2009
Last updated May 18th, 2023 - about last year

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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