Individual provider · Type 1 NPI
Larry Dale Deyton, LPC
Professional Counselor · Blue Ridge, GA
NPI number
1063554913
Active
Practice location
990 E Main St Ste 10
Blue Ridge, GA 30513-4534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC001871 (GA) |
Professional Counselor: Definition to come...
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About NPI 1063554913
Larry Dale Deyton, LPC's National Provider Identifier is 1063554913, issued on Feb 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blue Ridge, GA. The record was last updated on Sep 25, 2024.