MR. Larry Dale Deyton, LPC
NPI #1063554913 in Blue Ridge, Georgia
Provider Information
- NPI Number
- 1063554913
- Entity Type
- Individual
- Name
- MR. Larry Dale Deyton, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 990 E MAIN ST STE 10
- City
- Blue Ridge
- State
- Georgia
- ZIP Code
- 30513-4534
- Phone
- (706) 897-3011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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