Organization
MERIDIAN LIGHTHOUSE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN LARSSON (OWNER/LCSW)
(619) 713-4093
Entity
Organization
Contact information
Practice address
638 N STUCKER AVE, MERIDIAN, ID 83642-4489
(619) 713-4093
Mailing address
638 N STUCKER AVE, MERIDIAN, ID 83642-4489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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