Individual
MR. LARRY FARRARE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED CAC-AD
Contact information
Practice address
540 RIVERSIDE DR, SALISBURY, MD 21801-5352
(410) 548-3333
(410) 548-3341
Mailing address
540 RIVERSIDE DR, SALISBURY, MD 21801-5352
(410) 548-3333
(410) 548-3341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC-AD
MD
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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