STEPHEN VINCENT LARSEN

NEWPORT, OR
NPI1841634425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-04-25
Last Update Date2017-01-19
Business Address
-- STEPHEN VINCENT LARSEN QMHP, MS
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179
Mailing Address
-- STEPHEN VINCENT LARSEN QMHP, MS
720 SW 6TH ST
NEWPORT, OR 97365-5037
Phone number: 503-886-9475