LARISA SOUTHERLAND

FREMONT, CA
NPI1902771496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  145725)
Enumeration Date2025-10-06
Last Update Date2025-10-06
Business Address
LARISA SOUTHERLAND AMFT
2450 PERALTA BLVD STE 207
FREMONT, CA 94536-3826
Phone number: 510-200-8705
Mailing Address
LARISA SOUTHERLAND AMFT
PO BOX 370272
LAS VEGAS, NV 89137-0272
Phone number: