Individual provider · Type 1 NPI
Eric John Larson, EL CADC BS
Addiction (Substance Use Disorder) Counselor · Eureka, IL
NPI number
1326003344
Active
Practice location
109 E Eureka
Eureka, IL 61530
Fax (309) 467-5356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14471 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1326003344
Eric John Larson, EL CADC BS's National Provider Identifier is 1326003344, issued on Apr 20, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eureka, IL. The record was last updated on Jul 8, 2007.