Archuleta, Larissa Ferne
Archuleta, Larissa Ferne is an sole proprietor health care provider with primary practice located at 962 Chambers St Ste 11 , South Ogden UT 84403-5092. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Archuleta, Larissa Ferne can be contacted via phone (801) 625-3700.Contact Information
Primary practice address
962 Chambers St Ste 11
South Ogden UT 84403-5092
Phone: (801) 625-3700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7756352-3501 | Utah |
Profile Details
NPI number | 1669806246 |
---|---|
LBN Legal business name | Archuleta, Larissa Ferne |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2013 |
Last updated | Jan 17th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669806246 | NPPES |
Utah | Other | 260022408 | RAILROAD MEDICARE |
Utah | MEDICAID | 876000308007 | RAILROAD MEDICARE |
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