Individual
LARRY HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
500 HWY J NORTH, HAYTI, MO 63851
(573) 359-2600
(573) 359-1103
Mailing address
PO BOX 441, HAYTI, MO 63851-0441
(573) 359-2600
(573) 359-1103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/21/2008
Last updated
05/27/2009
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