MR. SHELLY LARSON, CADC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1891902409
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 256 (OK) |
Frequently Asked Questions
NPI 1891902409 is the National Provider Identifier for MR. SHELLY LARSON, CADC, a Counselor - Addiction (Substance Use Disorder) provider located in Mangum, OK. This NPI was enumerated on May 16, 2007.
MR. SHELLY LARSON, CADC practices at 2 WICKERSHAM ST, Mangum, OK 73554.
Quick Facts
- NPI
- 1891902409
- Type
- Individual
- Enumerated
- May 16, 2007
- Last Updated
- Jul 8, 2007
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