Matthew H Larson

NPI #1710243795 in Ephraim, Utah

Provider Information

NPI Number: 1710243795
Entity Type: Individual
Name: Matthew H Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 4, 2012
Last Updated: Apr 4, 2012

Practice Location

Address: 390 EAST 100 SOUTH
City: Ephraim
State: Utah
ZIP Code: 84627
Phone: (435) 851-6709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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