| NPI | 1336205749 |
|---|---|
| Other Name | JEFFREY J. LARSON, PH.D. |
| Entity Type | Organization |
| Authorized Contact | JEFFREY J LARSON Psychologist 206-463-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral (Licence: WA 3718) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA 1608) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |