Individual
MATTHEW ALOF LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
37 W 700 S, EPHRAIM, UT 84627-1524
(435) 851-0458
Mailing address
564 S 100 E, MANTI, UT 84642-1703
(435) 851-0458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13009913-6004
UT
101YP2500X
Professional Counselor
Primary
13009913-6004
UT
Other
Enumeration date
01/06/2014
Last updated
03/05/2026
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