Larsen, Alice J

Larsen, Alice J is an individual health care provider with primary practice located at 2700 Simpson Avenue Ste. 101, Aberdeen WA 98520. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Larsen, Alice J can be contacted via phone (360) 612-0012.

Contact Information

Primary practice address
2700 Simpson Avenue Ste. 101 Aberdeen WA 98520
Fax: (360) 532-0670
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 60878870 Washington

Profile Details

NPI number 1902135247
LBN Legal business name Larsen, Alice J
Credentials MASTERS STUDENT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2009
Last updated Feb 5th, 2019 - about 6 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 1902135247 NPPES
Washington MEDICAID 2107606

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