Organization
A1 COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY L SMITH LSCSW,LCAC (OWNER/COUNSELOR)
(316) 944-2087
Entity
Organization
Contact information
Practice address
524 N BAEHR ST, WICHITA, KS 67212-2220
(316) 944-2087
(316) 944-2087
Mailing address
524 N BAEHR ST, WICHITA, KS 67212-2220
(316) 944-2087
(316) 944-2087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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