Theresa M. Larson in Saint Louis - Professional
Theresa M. Larson - NPI 1881794535
Theresa M. Larson is a Professional in Saint Louis, Missouri. Theresa M. Larson practices all healthcare services and medical treatments related to Professional. The NPI Number for Theresa M. Larson is 1881794535. The last update date is 2007-07-09.
Theresa M. Larson's current location address is 10004 Kennerly Rd, Saint Louis, Missouri. You can contact this provider via phone number 3148490450 and fax number 3148490159. The mailing address for Theresa M. Larson is 10004 Kennerly Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa M. Larson |
|---|---|
| Address | 10004 Kennerly Rd, Saint Louis, Missouri |
| Phone Number | 3148490450 |
| Fax Number | 3148490159 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1881794535 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 10004 Kennerly Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631282141 |
| Phone Number | 3148490450 |
| Fax Number | 3148490159 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2139 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 498662501 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Theresa M. Larson by the Centers for Medicare & Medicaid Services?
The Theresa M. Larson has been issued the NPI (National Provider Identifier) 1881794535. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Theresa M. Larson is located?
The Theresa M. Larson is situated at the following address: 10004 Kennerly Rd, Saint Louis, MO, 631282141.
What is the area of specialization for Theresa M. Larson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Theresa M. Larson is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.
On what date did Theresa M. Larson receive its 1881794535 assignment from the Centers for Medicare & Medicaid Services?
The Theresa M. Larson was assigned its 1881794535 on 2006-09-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Theresa M. Larson most recently updated or revised?
The information pertaining to Theresa M. Larson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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