Most Relevant Information
Provider Data
| NPI Number: | 1003314113 |
| Provider Name: | LARRY MUHAMMAD CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/24/2018 |
| Last Updated: | 08/13/2024 |
Provider Practice Location
1238 COBB AVE
SPRINGFIELD
OH
455061904
Practice Location Phone/Fax
| Phone: | 9372150176 |
| Fax: |
Provider Mailing Location
1238 COBB AVE
SPRINGFIELD
OH
455061904
Provider Mailing Phone/Fax
| Phone: | 9372150176 |
| Fax: |