person
Mr. Larry Dewayne Wright, LPC
Professional Counselor in Doniphan, Missouri
NPI 1750597357

Larry Dewayne Wright is a Professional Counselor based in Doniphan, MO and is specialized in Professional. Larry Dewayne Wright practices in Doniphan, MO and has the professional credentials of LPC. The NPI Number for Larry Dewayne Wright is 1750597357 and holds a License No. 2000159346 (Missouri).

The current practice location address for Larry Dewayne Wright is 209 N Lafayette St, Doniphan, MO and can be reached out via phone at 573-996-7054 and via fax at 573-996-7052.

Location: 209 N Lafayette St, Doniphan, MO, 63935-1631
person
Provider Profile Details
NPI Number
1750597357
Provider Name
Larry Dewayne Wright
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
209 N Lafayette St, Doniphan, MO, 63935-1631
Phone Number
573-996-7054
Fax Number
573-996-7052
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2000159346 01 MO LPC LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
209 N Lafayette St
City
State
Zip
63935-1631
Phone Number
573-996-7054
Fax Number
573-996-7052
person
Provider Business Mailing Address Details
Address
209 N Lafayette St
City
State
Zip
63935-1631
Phone Number
573-996-7054
Fax Number
573-996-7052
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2000159346 (Missouri)
Definition
Definition to come...
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