| Brita Larson Counseling Llc | |
|
715 Hill St Ste 200 Madison WI 53705-3576 | |
| (608) 571-7289 | |
| Not Available |
| Full Name | Brita Larson Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 715 Hill St Ste 200, Madison, Wisconsin |
| Authorized Official Name and Position | Brita Larson (OWNER) |
| Authorized Official Contact | 6085717289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brita Larson Counseling Llc 715 Hill St Ste 260b Madison WI 53705-3572 Ph: (715) 577-0173 | Brita Larson Counseling Llc 715 Hill St Ste 200 Madison WI 53705-3576 Ph: (608) 571-7289 |
| NPI Number | 1235755364 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Medicare PECOS PAC ID | 1759707342 |
|---|---|
| Medicare Enrollment ID | O20200813000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235755364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brita J Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548800444 PECOS PAC ID: 4385060987 Enrollment ID: I20200813001015 |
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