| Mr Larry Eugene Smith Sr, CADC,ICADC | |
|
32208 S. 620 Rd, Grove, OK 74344 | |
| (918) 787-7769 | |
| (918) 787-7761 |
| Full Name | Mr Larry Eugene Smith Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 32208 S. 620 Rd, Grove, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548469448 | NPI | - | NPPES |
| 46,13162 | Other | OK | CADC, ICADC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 46, 13162 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Eugene Smith Sr, CADC,ICADC Po Box 451585, Grove, OK 74345-1585 Ph: (918) 787-7769 | Mr Larry Eugene Smith Sr, CADC,ICADC 32208 S. 620 Rd, Grove, OK 74344 Ph: (918) 787-7769 |
James Walls, Counselor Medicare: Medicare Enrolled Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 | |
Theresa R Page-bohannan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 E 3rd St Ste D, Grove, OK 74344 Phone: 918-786-4331 Fax: 918-786-4332 | |
Tina Louise Causey, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1115 Har-ber Road, Grove, OK 74344 Phone: 844-458-2100 | |
Alexandrea Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 | |
Mrs. Modina Pelley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 W. Harber Rd, Grove, OK 74344 Phone: 918-786-4434 | |
Gayle Lynn Dubois, MHR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 E 3rd St, Grove, OK 74344 Phone: 918-480-1744 | |
Amber Marie Dey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 E 3rd St, Grove, OK 74344 Phone: 918-787-2104 |