Ruth A Larson LCPC

NPI 1164583407 - Counselor - 101YM0800X

NPI Details
NPI 1164583407
Gender Female
Enumeration Date 12/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
934 E 5TH ST
MERIDIAN ID, 83642-2357, US
Phone (208) 888-1320
Fax (208) 888-3018
Business Location
934 E 5TH ST
MERIDIAN ID, 83642-2357, US
Phone (208) 888-1320
Fax (208) 888-3018
Toxanomy
Taxonomy Code 101YM0800X
License State Idaho
License Number LCPC278
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According to our database, Ruth A Larson LCPC NPI is 1164583407, taxonomy code is 101YM0800X and license number is LCPC278, license state is located at Idaho. Ruth A Larson LCPC physically located at 934 E 5th St, Meridian ID, 83642-2357. NPI Number Ruth A Larson LCPC has the Individual type.

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1164583407 NPI number is provided on an as is basis without warranty of any kind. 1164583407 is maintained by the National Plan & Provider Enumeration System. The contents of Ruth A Larson LCPC are for informational purposes only.