Provider Demographics
NPI:1215106760
Name:LARSEN, DEBRA DIAN (LPC-S)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:DIAN
Last Name:LARSEN
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6751 VIRGINIA PKWY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5515
Mailing Address - Country:US
Mailing Address - Phone:972-978-7522
Mailing Address - Fax:972-692-8812
Practice Address - Street 1:6751 VIRGINIA PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5515
Practice Address - Country:US
Practice Address - Phone:972-978-7522
Practice Address - Fax:972-692-8812
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16556101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional