| Mr Shane Michael Larson, MS, LPC-MH | |
|
100 S Maple, Suite 204, Watertown, SD 57201-3678 | |
| (605) 520-0157 | |
| Not Available |
| Full Name | Mr Shane Michael Larson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 100 S Maple, Watertown, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679655856 | NPI | - | NPPES |
| 5200010 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCMH2210 (South Dakota) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shane Michael Larson, MS, LPC-MH Po Box 1131, Watertown, SD 57201-6131 Ph: (605) 520-0157 | Mr Shane Michael Larson, MS, LPC-MH 100 S Maple, Suite 204, Watertown, SD 57201-3678 Ph: (605) 520-0157 |
Mrs. Angela Marie Arnold, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 517 20th Ave Nw, Watertown, SD 57201 Phone: 605-868-6003 | |
Nannie-lee Anne Austin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447 | |
Vicky L Albers, BA CCDC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447 | |
Kayla Ann Pinkert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447 | |
Mrs. Teresa Ann Madsen, CCSC II BS ALLIED Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447 | |
Jennifer Rudebusch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447 | |
Amanda Ulmer, BA Counselor Medicare: Medicare Enrolled Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447 |