Individual provider · Type 1 NPI

Larry Shane Wyatt, LPC

Professional Counselor · Crossville, TN

NPI number 1285027003 Active

About NPI 1285027003

Larry Shane Wyatt, LPC's National Provider Identifier is 1285027003, issued on Mar 18, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Crossville, TN. The record was last updated on Mar 18, 2015.