GRACE EVELYN LARSEN

ROCHESTER, MN
NPI1841031002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  4442)
Additional Taxonomies101YP2500X Counselor, Professional
Enumeration Date2024-06-03
Last Update Date2025-01-27
Business Address
GRACE EVELYN LARSEN MS, LPCC, LADC
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
Mailing Address
GRACE EVELYN LARSEN MS, LPCC, LADC
PO BOX 860912 PROVIDER ENROLLMENT - RST
MINNEAPOLIS, MN 55486-0912
Phone number: 507-284-2511