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Individual
MELODY LARSEN
Active
Individual
MELODY LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-38841
MT
106H00000X
Marriage & Family Therapist
BBH-LMFT-LIC-38685
MT
Other
Enumeration date
06/19/2014
Last updated
03/06/2026
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