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NPI Code Detail

MEDICARE: MS. SHARON ELIZABETH LARSEN LMSW, LPC

MEDICARE:  MS. SHARON ELIZABETH LARSEN  LMSW, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC 10277TX

General Provider Information

NPI Number : 1770682767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON ELIZABETH LARSEN LMSW, LPC
Provider Business Mailing Address
First Line : PO BOX 472
Second Line :
City : BELLAIRE
State : TX
Zip : 77402-0472
Country : US
Telephone Number : 713-824-3848
Fax Number :
Provider Business Practice Location Address
First Line : 10101 SOUTHWEST FWY
Second Line : SUITE 510
City : HOUSTON
State : TX
Zip : 77074-1126
Country : US
Telephone Number : 713-606-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/08/2007

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Directions to “ MS. SHARON ELIZABETH LARSEN LMSW, LPC” Practice Location

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