Larry Burrell II
Counselor, Professional in South Boston, VA. Individual provider (NPI-1).
NPI number1225968043
StatusActive
Last updated in NPPESMay 22, 2026
Details
- NPI
- 1225968043
- Entity type
- Individual (NPI-1)
- Name
- Larry Burrell II
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2026
- Certification date
- May 22, 2026
- Last updated
- May 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
404 Yates StSouth Boston, VA 24592-5036
Phone 434-222-4143
Mailing address
404 Yates StSouth Boston, VA 24592-5036
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