DIANTHA JEAN LARSON, CCDC T

NPI: 1669467577 · Individual · Active

Primary Specialty

Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)

Practice Location

123 19TH ST NE
WATERTOWN, SD 57201-2823 Map ↗
Phone: 605-886-0123
Fax: 605-886-5447

Mailing Address

PO BOX 1030
WATERTOWN, SD 57201-6030 Map ↗
Phone: 605-886-0123
Fax: 605-886-5447

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Addiction (Substance Use Disorder) Counselor Primary — Addiction (Substance Use Disorder) (license: 3085, SD)

NPI Registration

Enumerated: 2005-09-16

Last CMS Update: 2007-07-08