Individual
MR. LARRY PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4038 GAP RD, SUITE 202, KNOXVILLE, TN 37912-5903
(865) 525-0391
(865) 525-0393
Mailing address
1400 LA PALOMA DR, KNOXVILLE, TN 37923-1418
(865) 525-0391
(865) 525-0393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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