Larson, Matthew Paul

Larson, Matthew Paul is an individual health care provider with primary practice located at 41W400 Silver Glen Rd , St Charles IL 60175-8453. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Larson, Matthew Paul can be contacted via phone (630) 940-1193.

Contact Information

Primary practice address
41W400 Silver Glen Rd St Charles IL 60175-8453
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37495 Illinois

Profile Details

NPI number 1437938537
LBN Legal business name Larson, Matthew Paul
Credentials CADC, RYT200
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2023
Last updated Sep 27th, 2023 - about 2 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.

Request for update

Popular Providers