Basic Information
| Provider Information | |||||||||
| NPI: | 1588892780 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LARSON | ||||||||
| FirstName: | ANNE | ||||||||
| MiddleName: | PFEFFER | ||||||||
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| Credential: | M.ED. LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3645 E MCLEOD RD | ||||||||
| Address2: | |||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982268700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606762220 | ||||||||
| FaxNumber: | 3606767750 | ||||||||
| Practice Location | |||||||||
| Address1: | 3645 E. MCLEOD RD. | ||||||||
| Address2: | |||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982264429 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606766177 | ||||||||
| FaxNumber: | 3609253044 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2009 | ||||||||
| LastUpdateDate: | 10/21/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | LH00006141 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.