Individual provider · Type 1 NPI

Larry Alexander Clemons, CDCA

Addiction (Substance Use Disorder) Counselor · Shelby, OH

NPI number 1962990903 Active

Practice location

2775 State Route 39
Shelby, OH 44875-9466

Call (419) 747-3322 Map

Mailing address

5217 Winsome Way
Columbus, OH 43220-2692

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000844 (OH)

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

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About NPI 1962990903

Larry Alexander Clemons, CDCA's National Provider Identifier is 1962990903, issued on Apr 25, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelby, OH. The record was last updated on Apr 25, 2018.