Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Macon McCommack II

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053053157

Larry Macon McCommack II is an Addiction (Substance Use Disorder) Counselor in Charleston, West Virginia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

102 Patrick Street Plz
Charleston, WV 25387-2444
Phone: (304) 233-3200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1053053157
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2022
Last updated in NPPESApril 9, 2022
Certification dateApril 9, 2022

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