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Craig M Larsen, CPRC,CPRC-S
Peer Specialist in Caldwell, Idaho
NPI 1063139772

Craig M Larsen is a Peer Specialist based in Caldwell, ID. Craig M Larsen practices in Caldwell, ID and has the professional credentials of CPRC,CPRC-S. The NPI Number for Craig M Larsen is 1063139772 and holds a License No. 11926 (Idaho).

The current practice location address for Craig M Larsen is 304 W Logan St, Caldwell, ID and can be reached out via phone at 208-402-6782.

Location: 304 W Logan St, Caldwell, ID, 83605-4735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063139772
Provider Name
Craig M Larsen
Credential
CPRC,CPRC-S
Provider Entity Type
Individual
Gender
Male
Address
304 W Logan St, Caldwell, ID, 83605-4735
Phone Number
208-402-6782
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
304 W Logan St
City
Caldwell
State
Idaho
Zip
83605-4735
Phone Number
208-402-6782
Fax Number
person
Provider Business Mailing Address Details
Address
304 W Logan St
City
Caldwell
State
Idaho
Zip
83605-4735
Phone Number
208-402-6782
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
11926 (Idaho)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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