Organization
MRL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW R LARSON LCSW (OWNER)
(208) 866-3427
Entity
Organization
Contact information
Practice address
9442 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 866-3427
Mailing address
7826 E BRATTON, NAMPA, ID 83687
(208) 866-3427
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-33519
ID
Other
Enumeration date
04/27/2017
Last updated
03/26/2020
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