| Larisa Southerland, AMFT | |
|
2450 Peralta Blvd Ste 207, Fremont, CA 94536-3826 | |
| (510) 200-8705 | |
| Not Available |
| Full Name | Larisa Southerland |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2450 Peralta Blvd Ste 207, Fremont, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902771496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 145725 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larisa Southerland, AMFT Po Box 370272, Las Vegas, NV 89137-0272 Ph: () - | Larisa Southerland, AMFT 2450 Peralta Blvd Ste 207, Fremont, CA 94536-3826 Ph: (510) 200-8705 |
Mr. Joseph B Locaria, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4510 Peralta Blvd, Suite 1, Fremont, CA 94536 Phone: 510-713-3202 Fax: 510-713-0684 | |
Edgar T. Young, CADC II, CAS II Counselor Medicare: Not Enrolled in Medicare Practice Location: 4219 Tiburon Dr, Fremont, CA 94555 Phone: 510-794-7262 | |
Rachel Gai, Counselor Medicare: Not Enrolled in Medicare Practice Location: 39600 Logan Dr, Fremont, CA 94538 Phone: 510-656-7211 | |
Michael Hellerud, MS, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Seneca Park Ave, Fremont, CA 94538 Phone: 510-657-9155 | |
Diane Jeanine Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40950 Chapel Way, Fremont, CA 94538 Phone: 510-226-6352 | |
Mrs. Mia Larkin Newton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40950 Chapel Way, Fremont, CA 94538 Phone: 510-226-6180 | |
Susan Aziz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 442 Calistoga Cir, Fremont, CA 94536 Phone: 510-386-4435 |