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Individual

BYRON LOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC, PLPC, CRADC

Contact information

Practice address
125 N RUBY LN, FAIRVIEW HEIGHTS, IL 62208-1926
(618) 398-4226
(618) 398-1759
Mailing address
125 N RUBY LN, FAIRVIEW HEIGHTS, IL 62208-1926
(618) 398-4226
(618) 398-1759

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180-001482
IL
101YM0800X
Mental Health Counselor
2003031617
MO

Other

Enumeration date
05/16/2007
Last updated
07/08/2007
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