MR. Larry Shane Wyatt, LPC
NPI #1285027003 in Crossville, Tennessee
Provider Information
- NPI Number
- 1285027003
- Entity Type
- Individual
- Name
- MR. Larry Shane Wyatt, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Mar 18, 2015
- Last Updated
- Mar 18, 2015
Practice Location
- Address
- 261 YVONNE AVE
- City
- Crossville
- State
- Tennessee
- ZIP Code
- 38555-4735
- Phone
- (931) 456-2859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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