Most Relevant Information
Provider Data
| NPI Number: | 1003534371 |
| Provider Name: | LARISSA CARON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2022 |
| Last Updated: | 08/30/2022 |
Provider Practice Location
901 NE INDEPENDENCE AVE
LEES SUMMIT
MO
640865544
Practice Location Phone/Fax
| Phone: | 8163473007 |
| Fax: |
Provider Mailing Location
1555 NE RICE RD
LEES SUMMIT
MO
640865849
Provider Mailing Phone/Fax
| Phone: | 8163473069 |
| Fax: | 8163473200 |