Larry Livermore
NPI #1013218585 in Sault Sainte Marie, Michigan
Provider Information
- NPI Number
- 1013218585
- Entity Type
- Individual
- Name
- Larry Livermore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Nov 15, 2010
- Last Updated
- Nov 15, 2010
Practice Location
- Address
- 3865 S MACKINAC TRL
- State
- Michigan
- ZIP Code
- 49783-9286
- Phone
- (906) 632-2805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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