Larson, Matthew
Larson, Matthew is an individual health care provider with primary practice located at 16 12Th Ave S Suite 201, Nampa ID 83651-3936. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Larson, Matthew can be contacted via phone (208) 489-6866.Contact Information
Primary practice address
16 12Th Ave S Suite 201
Nampa ID 83651-3936
Phone: (208) 489-6866
Fax: (208) 475-6025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW--33509 | Idaho |
Profile Details
| NPI number | 1982941027 |
|---|---|
| LBN Legal business name | Larson, Matthew |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2013 |
| Last updated | Dec 10th, 2015 - about 11 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.
Popular Providers
-
Tovar, Lisa Marie
3782 E Amity Ave Ste 105 , Nampa ID 83687-8961 -
Canaday, Doreen
16 12Th Ave S Ste 103 , Nampa ID 83651-3962 -
Chilcott, Jessica
923 16Th Ave S , Nampa ID 83651-4731 -
Torres, Maria G
824 S Diamond St , Nampa ID 83686-5960 -
Wilson, Jacob W.
824 S Diamond St , Nampa ID 83686-5960 -
Som, Samong
9850 W St Lukes Dr Ste 290 , Nampa ID 83687-7912 -
O'Leary, Russell
1305 2Nd St S Suite 201, Nampa ID 83651-3944 -
Stensgaard, Leann Rene
2404 S Morning Sun Ct , Nampa ID 83686-4918