Larson, Diantha Jean

Larson, Diantha Jean is an individual health care provider with primary practice located at 123 19Th St Ne , Watertown SD 57201-2823. 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. Larson, Diantha Jean can be contacted via phone (605) 886-0123.

Contact Information

Primary practice address
123 19Th St Ne Watertown SD 57201-2823
Phone: (605) 886-0123
Fax: (605) 886-5447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3085 South Dakota

Profile Details

NPI number 1669467577
LBN Legal business name Larson, Diantha Jean
Credentials CCDC T
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
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.

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