Individual
DR. LARRY D. PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
978 BARNETT SPRINGS ST., RUSTON, LA 71270
(318) 436-1862
Mailing address
978 S BARNETT SPRINGS ST, RUSTON, LA 71270-9015
(318) 436-1862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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