Individual provider · Type 1 NPI

Larry Smith

Addiction (Substance Use Disorder) Counselor · Conway, SC

NPI number 1235474909 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Call (843) 347-4888 Map

Fax (843) 347-3959

Other practice locations

  • 2031 Mlk Jr Dr, Greensboro, NC 27406-3342 · (336) 271-5817

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2413A (NC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2413A (NC)

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

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About NPI 1235474909

Larry Smith's National Provider Identifier is 1235474909, issued on Dec 6, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Conway, SC. The record was last updated on Mar 17, 2018.