LARRY ALEXANDER CLEMONS

SHELBY, OH
NPI1962990903
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  000844)
Enumeration Date2018-04-25
Last Update Date2018-04-25
Business Address
LARRY ALEXANDER CLEMONS CDCA
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
Mailing Address
LARRY ALEXANDER CLEMONS CDCA
5217 WINSOME WAY
COLUMBUS, OH 43220-2692
Phone number: 419-571-0011