Individual
MR. KENT GARTH LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
3578 W 4850 S, TAYLORSVILLE, UT 84118-2836
(801) 967-4560
(801) 967-9638
Mailing address
3578 W 4850 S, TAYLORSVILLE, UT 84118-2836
(801) 967-4560
(801) 967-9638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
279663-3501
UT
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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