person
Mr. Larry Shane Wyatt, LPC
Professional Counselor in Crossville, Tennessee
NPI 1285027003

Larry Shane Wyatt is a Professional Counselor based in Crossville, TN and is specialized in Professional. Larry Shane Wyatt practices in Crossville, TN and has the professional credentials of LPC. The NPI Number for Larry Shane Wyatt is 1285027003 and holds a License No. 3239 (Tennessee).

The current practice location address for Larry Shane Wyatt is 261 Yvonne Ave, Crossville, TN and can be reached out via phone at 931-456-2859 and via fax at 931-707-8921. You can also correspond with Larry Shane Wyatt through the mailing address at 261 YVONNE AVE, CROSSVILLE, TN - 38555-4735 (mailing address contact number: 931-456-2859).

Location: 261 Yvonne Ave, Crossville, TN, 38555-4735
person
Provider Profile Details
NPI Number
1285027003
Provider Name
Larry Shane Wyatt
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
261 Yvonne Ave, Crossville, TN, 38555-4735
Phone Number
931-456-2859
Fax Number
931-707-8921
Provider Enumeration Date
03/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
261 Yvonne Ave
City
State
Zip
38555-4735
Phone Number
931-456-2859
Fax Number
931-707-8921
person
Provider Business Mailing Address Details
Address
261 Yvonne Ave
City
State
Zip
38555-4735
Phone Number
931-456-2859
Fax Number
931-707-8921
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3239 (Tennessee)
Definition
Definition to come...
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