JEFFERY SCOTT LARSON

STOCKTON, CA
NPI1043596869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-10-25
Last Update Date2011-10-25
Business Address
Mr. JEFFERY SCOTT LARSON
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8880
Mailing Address
Mr. JEFFERY SCOTT LARSON
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8880