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Larry Eugene Mahnesmith
Addiction (Substance Use Disorder) Counselor in Santa Maria, California
NPI 1093464182

Larry Eugene Mahnesmith is an Addiction (Substance Use Disorder) Counselor based in Santa Maria, CA and is specialized in Addiction (Substance Use Disorder). Larry Eugene Mahnesmith practices in Santa Maria, CA. The NPI Number for Larry Eugene Mahnesmith is 1093464182 and holds a License No. (California).

The current practice location address for Larry Eugene Mahnesmith is 115 E Fesler St, Santa Maria, CA and can be reached out via phone at 805-922-6597.

Location: 115 E Fesler St, Santa Maria, CA, 93454-4404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093464182
Provider Name
Larry Eugene Mahnesmith
Credential
Provider Entity Type
Individual
Gender
Male
Address
115 E Fesler St, Santa Maria, CA, 93454-4404
Phone Number
805-922-6597
Fax Number
Provider Enumeration Date
03/23/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
115 E Fesler St
City
Santa Maria
State
California
Zip
93454-4404
Phone Number
805-922-6597
Fax Number
person
Provider Business Mailing Address Details
Address
115 E Fesler St
City
Santa Maria
State
California
Zip
93454-4404
Phone Number
805-922-6597
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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