Larsen, Kimberly

Larsen, Kimberly is an sole proprietor health care provider with primary practice located at 612 W Morgan Ave , Chesterton IN 46304-2244. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Larsen, Kimberly can be contacted via phone (219) 307-0086.

Contact Information

Primary practice address
612 W Morgan Ave Chesterton IN 46304-2244
Phone: (219) 307-0086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 86000384A Indiana

Profile Details

NPI number 1588257976
LBN Legal business name Larsen, Kimberly
Credentials LAC CADAC V
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2021
Last updated Feb 16th, 2021 - about 4 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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