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
Phone: (360) 612-0012
Fax: (360) 532-0670
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902135247 | NPPES |
Washington | MEDICAID | 2107606 |
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