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Jonathon Larson, ED.D., CRC, LCPC
NPI 1629297098 · on the registry since 2007 · sole proprietor
Practice
- Address
- 11316 W Wadsworth Rd
Suite 102
Beach Park, IL 60099 - Phone
- (224) 216-0095
- Organisation at this address
- Maves Medical Ltd
Tayseer A Ibrahim Dds Pc
Tayseer A Ibrahim Dds Pc
Dr John T Patenaude & Dr David P Picchietti ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-16
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 Illinois