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DR. LARRY DON FAISON LPC

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1831424415

Individual Registrant:
DR. LARRY DON FAISON LPC
Gender: M
Sole Proprietor

Location and contact information for practice:
18311 WISCONSIN STREET  ROBERTSDALE, AL 36567 US
Tel: 251-605-6927  Fax: 251-625-2625

Contact information for business:
27787 MONIAC CV  DAPHNE, AL 36526-6337 US
Tel: 251-626-3105  Fax: 251-625-2625

Registration Information:
NPI: 1831424415
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
AL322
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
AL322

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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