Individual
LARRY MITCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC II
Contact information
Practice address
1727 WRIGHTSBORO RD, AUGUSTA, GA 30904-4049
(706) 699-4585
(706) 736-8184
Mailing address
1727 WRIGHTSBORO RD, AUGUSTA, GA 30904-4049
(706) 736-8170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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