Mr. Myron Russell Proctor, CADC, LMSW
Mr. Myron Russell Proctor, CADC, LMSW is an Addiction (Substance Use Disorder) Counselor in LA Fayette, Georgia. Works from 2 locations. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
201 N Main StLA Fayette, GA 30728-2419
Phone: (678) 590-5589
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6120 Alabama Hwy, Ringgold, GA 30736-2804 — (706) 935-6442
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence MSW011227 (GA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 0527 (GA) |
Record details
| NPI number | 1245875962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADC , LMSW |
| Sole proprietor | No |
| NPI enumerated | November 18, 2019 |
| Last updated in NPPES | August 21, 2023 |
| Certification date | August 21, 2023 |
Other providers in LA Fayette
-
Charlotte Speed, CADCII
501 Mize St, LA Fayette, GA 30728-3346 · (706) 538-5580