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Individual

MR. LARRY JAMES HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC-1

Contact information

Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6215
Mailing address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6215

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/20/2007
Last updated
09/20/2007
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