Individual provider · Type 1 NPI

Larry Livermore

Addiction (Substance Use Disorder) Counselor · Sault Sainte Marie, MI

NPI number 1013218585 Active

Practice location

3865 S Mackinac Trl
Sault Sainte Marie, MI 49783-9286

Call (906) 632-2805 Map

Fax (906) 632-1163

Mailing address

125 N Lake St
Manistique, MI 49854-1234

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1-04619 (MI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013218585

Larry Livermore's National Provider Identifier is 1013218585, issued on Nov 15, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sault Sainte Marie, MI. The record was last updated on Nov 15, 2010.