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Blaine Larsen — NPI 1447546353, Moroni, UT | NPI Central

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NPI 1447546353

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Blaine Larsen

NPI 1447546353 · Counselor · Moroni, UT

Provider details

NPI number: 1447546353
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Practice location

21260 N 1450 E

Moroni, UT 84646-0461

Phone: (435) 445-5200

Fax: (435) 445-5201

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

Po Box 461

Moroni, UT 84646-0461

Registry dates

Enumerated: 2011-06-20
Last updated: 2011-06-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.