person
Larry Macon Mccommack II
Addiction (Substance Use Disorder) Counselor in Charleston, West Virginia
NPI 1053053157

Larry Macon Mccommack II is an Addiction (Substance Use Disorder) Counselor based in Charleston, WV and is specialized in Addiction (Substance Use Disorder). Larry Macon Mccommack II practices in Charleston, WV. The NPI Number for Larry Macon Mccommack II is 1053053157 and holds a License No. (West Virginia).

The current practice location address for Larry Macon Mccommack II is 102 Patrick Street Plz, Charleston, WV and can be reached out via phone at 304-233-3200.

Location: 102 Patrick Street Plz, Charleston, WV, 25387-2444
person
Provider Profile Details
NPI Number
1053053157
Provider Name
Larry Macon Mccommack II
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 Patrick Street Plz, Charleston, WV, 25387-2444
Phone Number
304-233-3200
Fax Number
Provider Enumeration Date
04/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Patrick Street Plz
City
State
Zip
25387-2444
Phone Number
304-233-3200
Fax Number
person
Provider Business Mailing Address Details
Address
102 Patrick Street Plz
City
State
Zip
25387-2444
Phone Number
304-233-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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