person
Mr. Larry James Tedder, CDP
Addiction (Substance Use Disorder) Counselor in Kelso, Washington
NPI 1376823526

Larry James Tedder is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Larry James Tedder practices in Kelso, WA and has the professional credentials of CDP. The NPI Number for Larry James Tedder is 1376823526 and holds a License No. 00001495 (Washington).

The current practice location address for Larry James Tedder is 305 Pacific Ave S Ste 102, Kelso, WA and can be reached out via phone at 360-577-7442 and via fax at 360-577-7904.

Location: 305 Pacific Ave S Ste 102, Kelso, WA, 98632-8140
person
Provider Profile Details
NPI Number
1376823526
Provider Name
Larry James Tedder
Credential
CDP
Provider Entity Type
Individual
Gender
Male
Address
305 Pacific Ave S Ste 102, Kelso, WA, 98632-8140
Phone Number
360-577-7442
Fax Number
360-577-7904
Provider Enumeration Date
08/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
305 Pacific Ave S Ste 102
City
State
Zip
98626-1638
Phone Number
360-577-7442
Fax Number
360-577-7904
person
Provider Business Mailing Address Details
Address
305 Pacific Ave S Ste 102
City
State
Zip
98626-1638
Phone Number
360-577-7442
Fax Number
360-577-7904
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
00001495 (Washington)
Definition
Definition to come...
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