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1104554898
LARISSA SEVERSON
BOTHELL, WA
NPI
1104554898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
133N00000X Nutritionist
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
LARISSA SEVERSON LMHCA, CN
10614 BEARDSLEE BLVD STE C
BOTHELL, WA 98011-3279
Phone number: 360-789-6071
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Mailing Address
LARISSA SEVERSON LMHCA, CN
11616 25TH AVE S
SEATTLE, WA 98168-1206
Phone number:
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