Organization
CAMALLA L LARSON LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMALLA LARSON LCSW (PRESIDENT)
(406) 871-1243
Entity
Organization
Contact information
Practice address
38 E WASHINGTON ST STE 3, KALISPELL, MT 59901-3974
(406) 314-6313
Mailing address
38 E WASHINGTON ST STE 3, KALISPELL, MT 59901-3974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
06/15/2020
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