MATTHEW PAUL LARSON CADC, RYT200
NPI 1437938537
Counselor - Addiction (Substance Use Disorder) in St Charles, IL
Active since September 27, 2023
About Matthew Paul Larson Cadc, Ryt200 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW PAUL LARSON CADC, RYT200 (NPI 1437938537) is an individual addiction (substance use disorder) provider in St Charles, Illinois, licensed in Illinois (37495) and active in the NPI registry since September 2023.
NPPES Registry Identity
NPI1437938537
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMATTHEW PAUL LARSONCredential: CADC, RYT200
Location Address41W400 SILVER GLEN RDSt Charles, IL 60175-8453
Mailing Address41w400 Silver Glen RdSt Charles, IL 60175-8453 · (630) 940-1193
Phone(630) 940-1193
Sole ProprietorNo
Enumeration DateSeptember 27, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1437938537 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 37495
41W400 SILVER GLEN RD, St Charles, IL 60175
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
41W400 SILVER GLEN RD
ST CHARLES, IL 60175
ST CHARLES, IL 60175
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437938537, enumerated as an "individual" on September 27, 2023.
The provider is located at 41W400 SILVER GLEN RD ST CHARLES, IL 60175 and the phone number is (630) 940-1193.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
