Individual
MAKENZIE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
145 E 900 S STE 6, SALT LAKE CITY, UT 84111-4241
(385) 722-4505
Mailing address
557 E 3665 S, SOUTH SALT LAKE, UT 84106-1115
(801) 452-1653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12078515-6004
UT
Other
Enumeration date
02/08/2021
Last updated
09/09/2024
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