person
Mr. Larry Dale Deyton, LPC
Professional Counselor in Blue Ridge, Georgia
NPI 1063554913

Larry Dale Deyton is a Professional Counselor based in Blue Ridge, GA and is specialized in Professional. Larry Dale Deyton practices in Blue Ridge, GA and has the professional credentials of LPC. The NPI Number for Larry Dale Deyton is 1063554913 and holds a License No. LPC001871 (Georgia).

The current practice location address for Larry Dale Deyton is 990 E Main St Ste 10, Blue Ridge, GA and can be reached out via phone at 706-897-3011.

Location: 990 E Main St Ste 10, Blue Ridge, GA, 30513-4534
person
Provider Profile Details
NPI Number
1063554913
Provider Name
Larry Dale Deyton
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
990 E Main St Ste 10, Blue Ridge, GA, 30513-4534
Phone Number
706-897-3011
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
990 E Main St Ste 10
City
State
Zip
30513-4534
Phone Number
706-897-3011
Fax Number
person
Provider Business Mailing Address Details
Address
990 E Main St Ste 10
City
State
Zip
30513-4534
Phone Number
706-897-3011
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC001871 (Georgia)
Definition
Definition to come...
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