Individual
MR. RICHARD LEWIS LARECY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
548 SE JACKSON ST, ROSEBURG, OR 97470-2709
(541) 672-2691
(541) 673-5642
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(541) 673-5642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-05-28
OR
Other
Enumeration date
02/04/2016
Last updated
04/15/2026
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