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Lonnie James Larrison, CO61378037
Addiction (Substance Use Disorder) Counselor in Yakima, Washington
NPI 1205534831

Lonnie James Larrison is an Addiction (Substance Use Disorder) Counselor based in Yakima, WA and is specialized in Addiction (Substance Use Disorder). Lonnie James Larrison practices in Yakima, WA and has the professional credentials of CO61378037. The NPI Number for Lonnie James Larrison is 1205534831 and holds a License No. (Washington).

The current practice location address for Lonnie James Larrison is 120 South 3Rd Street, Yakima, WA and can be reached out via phone at 509-248-1800.

Location: 120 South 3Rd Street, Yakima, WA, 98901-2875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205534831
Provider Name
Lonnie James Larrison
Credential
CO61378037
Provider Entity Type
Individual
Gender
Male
Address
120 South 3Rd Street, Yakima, WA, 98901-2875
Phone Number
509-248-1800
Fax Number
Provider Enumeration Date
02/22/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
910755984 05 WA
2235389 05 WA
institution
Provider Business Practice Location Address Details
Address
120 South 3Rd Street
City
Yakima
State
Washington
Zip
98901-2875
Phone Number
509-248-1800
Fax Number
person
Provider Business Mailing Address Details
Address
120 South 3Rd Street
City
Yakima
State
Washington
Zip
98901-2875
Phone Number
509-248-1800
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.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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