MATTIE ROSE LARSON

LOS ANGELES, CA
NPI1477243731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-05-10
Last Update Date2023-05-10
Business Address
MATTIE ROSE LARSON
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
Mailing Address
MATTIE ROSE LARSON
1251 LINDA ROSA AVE
LOS ANGELES, CA 90041-2316
Phone number: 310-497-9550