KIMBERLY LARSEN

CHESTERTON, IN
NPI1588257976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  86000384A)
Enumeration Date2021-02-16
Last Update Date2021-02-16
Business Address
KIMBERLY LARSEN LAC CADAC V
612 W MORGAN AVE
CHESTERTON, IN 46304-2244
Phone number: 219-307-0086
Mailing Address
KIMBERLY LARSEN LAC CADAC V
612 W MORGAN AVE
CHESTERTON, IN 46304-2244
Phone number: 219-307-0086