Individual
DARA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
923 S RIVER RD STE 204, SAINT GEORGE, UT 84790-2288
(435) 429-1457
Mailing address
3411 S 2330 E, SAINT GEORGE, UT 84790-7777
(208) 280-1107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9388761-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9388761-6004
LICENSE NUMBER
UT
Enumeration date
09/14/2020
Last updated
09/14/2020
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