Individual
MR. LARRY L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW LCAC
Contact information
Practice address
1037 W MUNNELL ST, WICHITA, KS 67213-4542
(316) 617-2987
Mailing address
524 N BAEHR ST, WICHITA, KS 67212-2220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AAPS CERTIFICATION
KS
1041C0700X
Clinical Social Worker
Primary
4190
KS
1041C0700X
Clinical Social Worker
—
KS
Other
Enumeration date
07/21/2008
Last updated
04/11/2022
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