Individual
GERRY RYAN BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
59 E MAIN ST, LOVELL, WY 82431-2001
(307) 272-4972
Mailing address
PO BOX 296, LOVELL, WY 82431-0296
(307) 272-4972
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1028
WY
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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