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Individual

DR. LARRY PHILLIP FERRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EDD, LCAS

Contact information

Practice address
1690 WILMINGTON HWY, JACKSONVILLE, NC 28540-7547
(910) 938-2003
(910) 346-6092
Mailing address
1690 WILMINGTON HWY, JACKSONVILLE, NC 28540-7547
(910) 938-2003
(910) 346-6092

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1286
NC

Other

Enumeration date
06/16/2010
Last updated
06/16/2010
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