Individual
MR. LARRY D SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 ATHENA DR, GRIFFIN, GA 30223-2265
(708) 214-2484
(708) 214-2484
Mailing address
100 ATHENA DR, GRIFFIN, GA 30223-2265
(708) 214-2484
(708) 214-2484
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180002804
IL
101YP2500X
Professional Counselor
Primary
LPC015164
GA
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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