Individual provider · Type 1 NPI

Larry Macon McCommack Ii

Addiction (Substance Use Disorder) Counselor · Charleston, WV

NPI number 1053053157 Active

Practice location

102 Patrick Street Plz
Charleston, WV 25387-2444

Call (304) 233-3200 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1053053157

Larry Macon McCommack Ii's National Provider Identifier is 1053053157, issued on Apr 9, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charleston, WV. The record was last updated on Apr 9, 2022.