Individual
MR. GARY L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
252 W MAIN ST, DELTA, UT 84624-9256
(435) 864-7072
Mailing address
360 N. 525 E., DELTA, UT 84624
(435) 864-7072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
378274-6004
UT
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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