Larsen, Dara

Larsen, Dara is an sole proprietor health care provider with primary practice located at 923 S River Rd Ste 204 , Saint George UT 84790-2288. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Larsen, Dara can be contacted via phone (435) 429-1457.

Contact Information

Primary practice address
923 S River Rd Ste 204 Saint George UT 84790-2288
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 9388761-6004 Utah

Profile Details

NPI number 1184239337
LBN Legal business name Larsen, Dara
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2020
Last updated Sep 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184239337 NPPES
Utah Other 9388761-6004 LICENSE NUMBER

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