MR. Myron Russell Proctor, CADC, LMSW

NPI #1245875962 in La Fayette, Georgia

Provider Information

NPI Number
1245875962
Entity Type
Individual
Name
MR. Myron Russell Proctor, CADC, LMSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
CADC, LMSW
Enumeration Date
Nov 18, 2019
Last Updated
Aug 21, 2023

Practice Location

Address
201 N MAIN ST
State
Georgia
ZIP Code
30728-2419
Phone
(678) 590-5589

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker

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