| Doctor Name: | BARBARA LARSON |
| NPI Number: | 1871619726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BA, CAP |
| License Number: | 084 |
| Business Practice Address: | 1954 W Mariposa Prkwy Wheatland, WY - 82201 |
| Business Phone Number: | 3073223190 |
| Business Fax Number: | 3073223198 |
| Mailing Address: | 46 Lakeview Dr, WHEATLAND |
| State: | WY |
| Postal Code: | 822019271 |
| Phone Number: | 3073222289 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |