Mattie Rose Larson
Mattie Rose Larson is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
8831 Venice BlvdLos Angeles, CA 90034-3223
Phone: (310) 204-5200
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1477243731 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 10, 2023 |
| Last updated in NPPES | May 10, 2023 |
| Certification date | May 10, 2023 |
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