Individual provider · Type 1 NPI

Melissa Jo Larson, LPC

Mental Health Counselor · Burley, ID

NPI number 1548692155 Active

About NPI 1548692155

Melissa Jo Larson, LPC's National Provider Identifier is 1548692155, issued on Aug 6, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burley, ID. The record was last updated on Aug 6, 2013.