Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larisa Southerland, AMFT

Individual provider Mental Health Counselor · NPI 1902771496

Larisa Southerland, AMFT is a Mental Health Counselor in Fremont, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2450 Peralta Blvd Ste 207
Fremont, CA 94536-3826
Phone: (510) 200-8705
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 145725 (CA)

Record details

NPI number1902771496
Entity typeIndividual (Type 1)
GenderFemale
Credentials AMFT
Sole proprietorNo
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

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