Angela Marie Larcom

Individual provider Professional Counselor · NPI 1588291942

Angela Marie Larcom is a Mental Health Counselor in Saint Joseph, Minnesota. Qualified in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying: 14
Licensed in: MN
In the registry since: 2020

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Practice location Address checks out

1511 E Minnesota St
Saint Joseph, MN 56374-8618
Phone: (320) 260-3471

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary)	Taxonomy 101YP2500X · Licence CC01378 (MN)

Record details

NPI number	1588291942
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	March 25, 2020
Last updated in NPPES	January 2, 2024
Certification date	January 2, 2024
Mailing address	Po Box 653, Saint Joseph, MN 56374-0653

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2012 (14 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount