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Mrs. Brianne Lynn Larson, LMSW
Mental Health Counselor in Blackfoot, Idaho
NPI 1801307418

Brianne Lynn Larson is a Mental Health Counselor based in Firth, ID and is specialized in Mental Health. Brianne Lynn Larson practices in Blackfoot, ID and has the professional credentials of LMSW. The NPI Number for Brianne Lynn Larson is 1801307418 and holds a License No. (Idaho).

The current practice location address for Brianne Lynn Larson is 199 W Bridge St, Blackfoot, ID and can be reached out via phone at 208-351-4058.

Location: 199 W Bridge St, Blackfoot, ID, 83236-1117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801307418
Provider Name
Brianne Lynn Larson
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
199 W Bridge St, Blackfoot, ID, 83236-1117
Phone Number
208-351-4058
Fax Number
Provider Enumeration Date
10/23/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805932700 05 ID
institution
Provider Business Practice Location Address Details
Address
199 W Bridge St
City
Blackfoot
State
Idaho
Zip
83221-2704
Phone Number
208-351-4058
Fax Number
person
Provider Business Mailing Address Details
Address
199 W Bridge St
City
Blackfoot
State
Idaho
Zip
83221-2704
Phone Number
208-351-4058
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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