Individual
DENO LARRY GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, NCACI, SAP
Contact information
Practice address
8600 W 95TH ST STE 104-7, OVERLAND PARK, KS 66212-3240
(913) 514-4478
Mailing address
8600 W 95TH ST STE 104-7, OVERLAND PARK, KS 66212-3240
(913) 514-4478
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
901
KS
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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