Individual
GARY BYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S AND IMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E . 0003203
OH
101YP2500X
Professional Counselor
Primary
E.0003203
OH
106H00000X
Marriage & Family Therapist
F . 0000072
OH
Other
Enumeration date
08/28/2007
Last updated
11/09/2016
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