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General NPI Number Information
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NPI Number | 1962378752
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Entity Type | Organization
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Legal Business Name | NATALIE LARSON INC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 4255 PHEASANT RIDGE DR NE STE 412
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City | MINNEAPOLIS
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State | MN
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Zip | 55449-5066
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Country | US
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Telephone | 763-703-3721
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Fax |
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Provider Business Mailing Address
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Address Line | 4255 PHEASANT RIDGE DR NE STE 412
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City | MINNEAPOLIS
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State | MN
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Zip | 55449-5066
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATALIE LARSON
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Credential | MA, LPCC-S, RPT-S
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Telephone | 425-281-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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