Individual provider · Type 1 NPI

Larry Carl Tustin, BA, CADC

Addiction (Substance Use Disorder) Counselor · Poteau, OK

NPI number 1104145143 Active

About NPI 1104145143

Larry Carl Tustin, BA, CADC's National Provider Identifier is 1104145143, issued on May 28, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Poteau, OK. The record was last updated on May 28, 2010.