Individual
MR. WESLEY WILLARD LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LMFT
Contact information
Practice address
190 E CENTER ST, LOGAN, UT 84321-4607
(435) 752-1976
(435) 755-6707
Mailing address
190 E CENTER ST, LOGAN, UT 84321-4607
(435) 752-1976
(435) 755-6707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
275193-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275193-3902
MENTAL HEALTH
UT
Enumeration date
09/04/2013
Last updated
09/04/2013
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