Individual provider · Type 1 NPI

Larry Pemberton, PhD

Mental Health Counselor · Knoxville, TN

NPI number 1992073589 Active

Practice location

4038 Gap Rd, Suite 202
Knoxville, TN 37912-5903

Fax (865) 525-0393

Mailing address

1400 La Paloma Dr
Knoxville, TN 37923-1418

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992073589

Larry Pemberton, PhD's National Provider Identifier is 1992073589, issued on Dec 9, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Knoxville, TN. The record was last updated on Dec 9, 2011.