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Larry Cassady
Addiction (Substance Use Disorder) Counselor in Vincent, Ohio
NPI 1093596173

Larry Cassady is an Addiction (Substance Use Disorder) Counselor based in Vincent, OH and is specialized in Addiction (Substance Use Disorder). Larry Cassady practices in Vincent, OH. The NPI Number for Larry Cassady is 1093596173 and holds a License No. (Ohio).

The current practice location address for Larry Cassady is 4945 State Route 339, Vincent, OH and can be reached out via phone at 740-993-0399.

Location: 4945 State Route 339, Vincent, OH, 45784-5106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093596173
Provider Name
Larry Cassady
Credential
Provider Entity Type
Individual
Gender
Male
Address
4945 State Route 339, Vincent, OH, 45784-5106
Phone Number
740-993-0399
Fax Number
Provider Enumeration Date
10/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4945 State Route 339
City
Vincent
State
Ohio
Zip
45784-5106
Phone Number
740-993-0399
Fax Number
person
Provider Business Mailing Address Details
Address
4945 State Route 339
City
Vincent
State
Ohio
Zip
45784-5106
Phone Number
740-993-0399
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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