Larson, Amanda

Larson, Amanda is an sole proprietor health care provider with primary practice located at 617 S Pasadena Ave Apt 3 , Pasadena CA 91105-3012. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Larson, Amanda can be contacted via phone (860) 490-8103.

Contact Information

Primary practice address
617 S Pasadena Ave Apt 3 Pasadena CA 91105-3012
Phone: (860) 490-8103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 8312 California

Profile Details

NPI number 1922245794
LBN Legal business name Larson, Amanda
Credentials MA, LPCC, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2009
Last updated Aug 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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