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Search › Utah › 1041C0700X

Brett Larsen, LCSW

NPI 1558796128 · on the registry since 2013

Practice

Address
344 E 100 S Ste 301
Salt Lake City, UT 84111
Phone
(801) 428-4257
Organisation at this address
Odyssey House
Odyssey House
Odyssey House Of Utah
Odyssey House Of Utah
Odyssey House Of Utah
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,568

Additional practice sites

  • 1390 66th Ave, Oakland, CA
  • 2500 S State St, South Salt Lake, UT
  • 344 E 100 S, Salt Lake City, UT
  • 344 E 100 S, Salt Lake City, UT
  • 1390 66th Ave, Oakland, CA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
1041C0700X
Licence states on file
CA, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah