JEFFREY DONALD LARSON LADC
NPI 1023575263
Counselor - Addiction (Substance Use Disorder) in Milaca, MN

Q: What is Jeffrey Larson's NPI number?

The NPI number for Jeffrey Larson is 1023575263. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Q: What is Jeffrey Larson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Larson was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 25, 2019

11735 90TH AVE, MILACA, MN 56353(612) 251-8206 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2021, Feb 25, 2019 (2 updates tracked since 2019).

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About Jeffrey Donald Larson Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY DONALD LARSON LADC (NPI 1023575263) is an individual addiction (substance use disorder) provider in Milaca, Minnesota, licensed in Minnesota (300814) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1023575263

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJEFFREY DONALD LARSONCredential: LADC

Location Address11735 90TH AVEMilaca, MN 56353-3894

Mailing Address11735 90th AveMilaca, MN 56353-3894

Phone(612) 251-8206

Sole ProprietorNo

Enumeration DateFebruary 25, 2019

Last NPPES UpdateApril 15, 20212 updates tracked since enumeration

NPPES CertifiedApril 15, 2021

✔ NPI 1023575263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 300814

11735 90TH AVE, Milaca, MN 56353

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Larson's NPI number?

The NPI number for Jeffrey Larson is 1023575263. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Jeffrey Larson located?

Jeffrey Larson practices at 11735 90th Ave, Milaca, MN 56353. The listed phone number is (612) 251-8206.

What is Jeffrey Larson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeffrey Larson was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.