person
Amanda Larsen
Mental Health Counselor in Salt Lake City, Utah
NPI 1154629376

Amanda Larsen is a Mental Health Counselor based in Salt Lake City, UT and is specialized in Mental Health. Amanda Larsen practices in Salt Lake City, UT. The NPI Number for Amanda Larsen is 1154629376 and holds a License No. 4807974-3503 (Utah).

The current practice location address for Amanda Larsen is 5965 S 900 E, Salt Lake City, UT and can be reached out via phone at 801-263-7100.

Location: 5965 S 900 E, Salt Lake City, UT, 84121-1720
person
Provider Profile Details
NPI Number
1154629376
Provider Name
Amanda Larsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
5965 S 900 E, Salt Lake City, UT, 84121-1720
Phone Number
801-263-7100
Fax Number
Provider Enumeration Date
03/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5965 S 900 E
City
State
Zip
84121-1720
Phone Number
801-263-7100
Fax Number
person
Provider Business Mailing Address Details
Address
5965 S 900 E
City
State
Zip
84121-1720
Phone Number
801-263-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4807974-3503 (Utah)
Definition
Definition to come...
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