Individual
MR. CHESTER J LARRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
108 PALMETTO PL, BYESVILLE, OH 43723-9602
(740) 685-1610
(740) 685-1610
Mailing address
108 PALMETTO PL, BYESVILLE, OH 43723-9602
(740) 685-1610
(740) 685-1610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E-0001153
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314329
—
OH
Enumeration date
05/18/2007
Last updated
07/09/2007
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