Larsen, Philip Reed

Larsen, Philip Reed is an sole proprietor health care provider with primary practice located at 1229 S Saint Francis Dr Ste B , Santa Fe NM 87505-4052. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Larsen, Philip Reed can be contacted via phone (413) 626-1094.

Contact Information

Primary practice address
1229 S Saint Francis Dr Ste B Santa Fe NM 87505-4052
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-09948 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X 110336 Massachusetts

Profile Details

NPI number 1497781496
LBN Legal business name Larsen, Philip Reed
Credentials LICSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Oct 12th, 2018 - about 7 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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