Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Craig M Larsen, CPRC, CPRC-S

Individual provider Peer Specialist · NPI 1063139772

Craig M Larsen, CPRC, CPRC-S is a Peer Specialist in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022

Practice location Address checks out

304 W Logan St
Caldwell, ID 83605-4735
Phone: (208) 402-6782
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 11926 (ID)

Record details

NPI number1063139772
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRC , CPRC-S
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

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