Larissa Chandrima Kaiulani Proctor, LPC

Professional Counselor · Union, MO

Individual Active NPI

NPI number 1164015673

Practice location

1780 Old Highway 50 E Ste 102
Union, MO 63084-3397
Phone
(888) 403-1071

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NPI record

NPI
1164015673
Entity type
Individual (Type 1)
Enumeration date
February 16, 2021
Last updated
February 8, 2023
Certified
February 8, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 2021005305 MO

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone
(660) 885-8131

About Larissa Proctor

Larissa Chandrima Kaiulani Proctor, LPC is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 1780 Old Highway 50 E Ste 102, Union, MO 63084-3397. The NPI number 1164015673 was assigned on February 16, 2021 and the record was last updated on February 8, 2023.

Larissa Proctor lists a license in the registry: #2021005305 (MO) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larissa Chandrima Kaiulani Proctor, LPC?

The NPI number is 1164015673.

What is the phone number of Larissa Proctor?

The phone number listed for the practice location is (888) 403-1071.

Where is Larissa Proctor located?

1780 Old Highway 50 E Ste 102, Union, MO 63084-3397.

What is the taxonomy code for Larissa Proctor?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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