# MATT LARSON PSYCHOTHERAPY AND ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942746060
- **Authorized official:** MATT LARSON (LCSW/OWNER)
- **Authorized official phone:** (801) 599-6396

## Contact information

- **Practice address:** 24 S 600 E STE 6, SALT LAKE CITY, UT 84102-4201
- **Practice address phone:** (801) 599-6396
- **Mailing address:** 24 S 600 E STE 6, SALT LAKE CITY, UT 84102-4201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 9190801-3501 | UT | Yes |

## Other

- **Enumeration date:** 01/12/2017
- **Last updated:** 01/12/2017