person
Mrs. Melissa Jo Larson, LPC
Mental Health Counselor in Burley, Idaho
NPI 1548692155

Melissa Jo Larson is a Mental Health Counselor based in Burley, ID and is specialized in Mental Health. Melissa Jo Larson practices in Burley, ID and has the professional credentials of LPC. The NPI Number for Melissa Jo Larson is 1548692155 and holds a License No. LPC-5365 (Idaho).

The current practice location address for Melissa Jo Larson is 2311 Park Ave Ste 3, Burley, ID and can be reached out via phone at 208-678-3555 and via fax at 208-678-3556.

Location: 2311 Park Ave Ste 3, Burley, ID, 83318-5711
person
Provider Profile Details
NPI Number
1548692155
Provider Name
Melissa Jo Larson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2311 Park Ave Ste 3, Burley, ID, 83318-5711
Phone Number
208-678-3555
Fax Number
208-678-3556
Provider Enumeration Date
08/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2311 Park Ave Ste 3
City
State
Zip
83318-2104
Phone Number
208-678-3555
Fax Number
208-678-3556
person
Provider Business Mailing Address Details
Address
2311 Park Ave Ste 3
City
State
Zip
83318-2104
Phone Number
208-678-3555
Fax Number
208-678-3556
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-5365 (Idaho)
Definition
Definition to come...
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