Provider Demographics
NPI:1033262027
Name:LARSEN, FRANCIE R (MS, LPCC)
Entity Type:Individual
Prefix:
First Name:FRANCIE
Middle Name:R
Last Name:LARSEN
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11840 BUCKING BRONCO TRL SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-3505
Mailing Address - Country:US
Mailing Address - Phone:505-331-8894
Mailing Address - Fax:
Practice Address - Street 1:11840 BUCKING BRONCO TRL SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-3505
Practice Address - Country:US
Practice Address - Phone:505-331-8894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0124371101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional