Individual provider · Type 1 NPI

Larry Mitchum, CAC II

Addiction (Substance Use Disorder) Counselor · Augusta, GA

NPI number 1366239063 Active

Practice location

1727 Wrightsboro Rd
Augusta, GA 30904-4049

Call (706) 699-4585 Map

Fax (706) 736-8184

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366239063

Larry Mitchum, CAC II's National Provider Identifier is 1366239063, issued on Apr 24, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Augusta, GA. The record was last updated on Apr 24, 2025.