DEREK LARSEN

SAN DIEGO, CA
NPI1336538479
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-01-13
Last Update Date2015-01-13
Business Address
-- DEREK LARSEN M.S., NCC
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
Mailing Address
-- DEREK LARSEN M.S., NCC
1027 FELSPAR ST APT 3
SAN DIEGO, CA 92109-2836
Phone number: 315-727-0841
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