Individual provider · Type 1 NPI
Larry Cantor, PhD
Professional Counselor · Madison, AL
NPI number
1144317835
Active
Practice location
190 Lime Quarry Rd., Ste 116
Madison, AL 35758
Fax (256) 461-8897
Mailing address
190 Lime Quarry Rd, Ste 116
Madison, AL 35758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 851 (AL) |
| Professional Counselor Primary | 101YP2500X | 851 (AL) |
Professional Counselor: Definition to come...
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About NPI 1144317835
Larry Cantor, PhD's National Provider Identifier is 1144317835, issued on Oct 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, AL. The record was last updated on May 2, 2013.