| Mr Ethan Tavis Larsen, MSW | |
|
405 Central Ave, Northfield, IL 60093-3006 | |
| (847) 441-5600 | |
| Not Available |
| Full Name | Mr Ethan Tavis Larsen |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 405 Central Ave, Northfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548915382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ethan Tavis Larsen, MSW 858 N Wolcott Ave Apt 2, Chicago, IL 60622-6791 Ph: (626) 466-5812 | Mr Ethan Tavis Larsen, MSW 405 Central Ave, Northfield, IL 60093-3006 Ph: (847) 441-5600 |
Andrea J Burruss, Counselor Medicare: Medicare Enrolled Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Jacqueline Swietochowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Jennifer Stranski, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 Fax: 847-441-7968 | |
Ana Karen Reyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Elissah Fay Adkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 224-505-5364 | |
Jane Y Kim, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 | |
Samantha Sanecki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, Northfield, IL 60093 Phone: 847-441-5600 |