MATTHEW PAUL LARSON

ST CHARLES, IL
NPI1437938537
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  37495)
Enumeration Date2023-09-27
Last Update Date2023-09-27
Business Address
MATTHEW PAUL LARSON CADC, RYT200
41W400 SILVER GLEN RD
ST CHARLES, IL 60175-8453
Phone number: 630-940-1193
Mailing Address
MATTHEW PAUL LARSON CADC, RYT200
41W400 SILVER GLEN RD
ST CHARLES, IL 60175-8453
Phone number: 630-940-1193
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