Larson, Wesley Willard
Larson, Wesley Willard is an individual health care provider with primary practice located at 190 E Center St , Logan UT 84321-4607. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Larson, Wesley Willard can be contacted via phone (435) 752-1976.Contact Information
Primary practice address
190 E Center St
Logan UT 84321-4607
Phone: (435) 752-1976
Fax: (435) 755-6707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 275193-3902 | Utah |
Profile Details
| NPI number | 1083049506 |
|---|---|
| LBN Legal business name | Larson, Wesley Willard |
| Credentials | MS LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2013 |
| Last updated | Sep 4th, 2013 - about 11 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 | 1083049506 | NPPES |
| Utah | Other | 275193-3902 | MENTAL HEALTH |
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