| Doctor Name: | ERIK HANS LARSON |
| NPI Number: | 1285091348 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW, LPI |
| License Number: | 60338539 |
| Business Practice Address: | 6947 Coal Creek Pkwy Se # 327 Newcastle, WA - 980593136 |
| Business Phone Number: | 2062297984 |
| Business Fax Number: | 4256419223 |
| Mailing Address: | 8016 148th Ave Se, NEWCASTLE |
| State: | WA |
| Postal Code: | 980599252 |
| Phone Number: | 2062297984 |
| Fax Number: | 4256419223 |
| NPI Enumeration Date: | 01/20/2016 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 60338539 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |