Individual
MR. LARRY LEE NALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2990 EARL GOODWIN PKWY, SELMA, AL 36703-2860
(334) 418-6527
(334) 875-3145
Mailing address
2990 EARL GOODWIN PKWY, SELMA, AL 36703-2860
(334) 418-6527
(334) 875-3145
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2368
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000021
—
AL
Enumeration date
05/11/2010
Last updated
05/11/2010
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