Larsen, Annette M

Larsen, Annette M is an individual health care provider with primary practice located at 405 Kays Dr , Normal IL 61761-1979. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Larsen, Annette M can be contacted via phone (309) 888-9979.

Contact Information

Primary practice address
405 Kays Dr Normal IL 61761-1979
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1265510507
LBN Legal business name Larsen, Annette M
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers