Individual provider · Type 1 NPI

Mattie Rose Larson

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1477243731 Active

Practice location

8831 Venice Blvd
Los Angeles, CA 90034-3223

Call (310) 204-5200 Map

Mailing address

1251 Linda Rosa Ave
Los Angeles, CA 90041-2316

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1477243731

Mattie Rose Larson's National Provider Identifier is 1477243731, issued on May 10, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on May 10, 2023.