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DR. LARRY DON FAISON LPC
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1831424415
Individual Registrant:DR. LARRY DON FAISON LPC
Gender: M
Sole Proprietor
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
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
Tel: 251-626-3105 Fax: 251-625-2625
Registration Information:
NPI: 1831424415
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101Y00000X | Behavioral Health & Social Service Providers Counselor | AL | 322 |
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | AL | 322 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
