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Larissa Kibort, CADC

NPI 1053042242 · on the registry since 2022

Practice

Address
34185 Violet Lantern St Unit 103
Dana Point, CA 92629
Phone
(949) 356-7952

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California