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Individual

GARY BYRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC-S AND IMFT

Contact information

Practice address
24100 CHAGRIN BLVD, #400, BEACHWOOD, OH 44122-5535
(216) 831-1040
(216) 831-2667
Mailing address
25700 SCIENCE PARK DRIVE, SUITE 200, LANDMARK CENTRE., BEACHWOOD, OH 44122
(216) 831-1040
(216) 831-2667

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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