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

Lukas Robert Lee Larson, SUDP/T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104680206

Lukas Robert Lee Larson, SUDP/T is an Addiction (Substance Use Disorder) Counselor in Kent, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

21851 84th Ave S # 101
Kent, WA 98032-1958
Phone: (425) 687-7082
Fax: (425) 687-7352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (WA)

Record details

NPI number1104680206
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDP/T
Sole proprietorNo
NPI enumeratedFebruary 8, 2024
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing address21851 84th Ave S # 101, Kent, WA 98032-1958

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