KALEB ORVILLE LARSON

TERRE HAUTE, IN
NPI1053812461
Other NameMARTY ORVILLE LARSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39004107A)
Enumeration Date2018-02-22
Last Update Date2024-09-23
Business Address
KALEB ORVILLE LARSON MS
6401 S. US HWY 41
TERRE HAUTE, IN 47805-4749
Phone number: 812-299-1156
Mailing Address
KALEB ORVILLE LARSON MS
GIBAULT CARE INC. 6401 S. US HWY 41
TERRE HAUTE, IN 47805-4749
Phone number: 812-299-1156