Provider Demographics
NPI:1588892780
Name:LARSON, ANNE PFEFFER (MED LMHC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:PFEFFER
Last Name:LARSON
Suffix:
Gender:F
Credentials:MED LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 E MCLEOD RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8700
Mailing Address - Country:US
Mailing Address - Phone:360-676-2220
Mailing Address - Fax:360-676-7750
Practice Address - Street 1:3645 E. MCLEOD RD.
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-4429
Practice Address - Country:US
Practice Address - Phone:360-676-6177
Practice Address - Fax:360-925-3044
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health