Craig M Larsen, CPRC, CPRC-S

NPI #1063139772 in Caldwell, Idaho

Provider Information

NPI Number: 1063139772
Entity Type: Individual
Name: Craig M Larsen, CPRC, CPRC-S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CPRC, CPRC-S
Enumeration Date: Oct 24, 2022
Last Updated: Oct 24, 2022

Practice Location

Address: 304 W LOGAN ST
City: Caldwell
State: Idaho
ZIP Code: 83605-4735
Phone: (208) 402-6782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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