ELIZABETH T LARSON

MERIDIAN, ID
NPI1184895997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC397)
Enumeration Date2008-03-19
Last Update Date2008-03-19
Business Address
-- ELIZABETH T LARSON
2176 E FRANKLIN RD
MERIDIAN, ID 83642-9024
Phone number: 208-830-4036
Mailing Address
-- ELIZABETH T LARSON
5621 LYNWOOD PL
BOISE, ID 83706-1035
Phone number: 208-323-1473