IndividualActive
Diantha Larson, CCDC T
NPI 1669467577 · Addiction (Substance Use Disorder) Counselor · Watertown, SD
Provider details
- NPI number
- 1669467577
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CCDC T
- Sex
- Female
- License
- 3085 (SD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
123 19th St Ne
Watertown, SD 57201-2823
Phone: (605) 886-0123
Fax: (605) 886-5447
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1030
Watertown, SD 57201-6030
Registry dates
- Enumerated
- 2005-09-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.