Individual
KRISTIN LARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2596 N STOKESBERRY PL STE 105, MERIDIAN, ID 83646-6479
(208) 918-1636
Mailing address
638 N STUCKER AVE, MERIDIAN, ID 83642-4489
(619) 713-4093
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-43238
ID
1041C0700X
Clinical Social Worker
Primary
8911251
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-1896182
—
ID
Enumeration date
02/28/2023
Last updated
02/27/2026
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