Natalie Ann-Louise Larson | Stillwater, MN • PECOS Search

Natalie Ann-Louise Larson

Counselor

Behavioral Health & Social Service Providers

275 3rd St S Ste 303, Stillwater, MN 55082-8001

PECOS Enrollment

Based on the most recent information from CMS, provider Natalie Ann-Louise Larson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1710240890
Provider Type
Individual
Full Name
Larson, Natalie Ann-Louise
Credential
LPCC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/22/2012
Last Updated
6/22/2012

Contact Information

Practice Location

275 3rd St S Ste 303, Stillwater, MN 55082-8001

(888) 675-8262

Mailing Location

275 3rd St. S. Ste 303, Stillwater, MN 55082-8001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CC00482 Minnesota