Individual
MR. LARRY LITRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWR, CAC, CASAC
Contact information
Practice address
RR 3 BOX 3406, KIDSPEACE, SAYLORSBURG, PA 18353-9632
(610) 381-3400
(610) 381-2531
Mailing address
778 BLUE MOUNTAIN LK, EAST STROUDSBURG, PA 18301-7920
(570) 972-0695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6841
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
7789
NY
1041C0700X
Clinical Social Worker
Primary
CW015858
PA
1041C0700X
Clinical Social Worker
R056430-1
NY
Other
Enumeration date
10/25/2006
Last updated
12/18/2007
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