Individual
LARRY MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.D.P.C, C.C.C
Contact information
Practice address
1752 STATE HWY 508, ONALASKA, WA 98570-0485
(360) 978-4186
(360) 978-4926
Mailing address
PO BOX 485, 1752 STATE HWY 508, ONALASKA, WA 98570-0485
(360) 978-4186
(360) 978-4926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005297
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1996016
—
WA
Enumeration date
06/02/2016
Last updated
06/02/2016
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