| Larry Livermore, | |
|
3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | |
| (906) 632-2805 | |
| (906) 632-1163 |
| Full Name | Larry Livermore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3865 S Mackinac Trl, Sault Sainte Marie, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013218585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1-04619 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Livermore, 125 N Lake St, Manistique, MI 49854-1234 Ph: () - | Larry Livermore, 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 Ph: (906) 632-2805 |
Jessica Rose Sheppard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 E Spruce St, Sault Sainte Marie, MI 49783 Phone: 906-635-5542 Fax: 888-977-2109 | |
Tracy R Olson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2655 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-2522 Fax: 906-632-2370 | |
Sandra Preston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2655 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-2522 Fax: 906-632-2370 | |
Janet Sue Farrish-gravelle, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-635-2969 | |
Stephanie Ann Beaulieu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 E Spruce St, Sault Sainte Marie, MI 49783 Phone: 906-635-5542 Fax: 906-635-2962 | |
Alyssa Lea Burnash, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2655 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-2522 Fax: 906-632-2370 |