Individual
LONNIE G GERHARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LAT
Contact information
Practice address
206 S 7TH ST, WORLAND, WY 82401-3308
(307) 347-6165
(307) 347-6166
Mailing address
206 S 7TH ST, WORLAND, WY 82401-3308
(307) 347-6165
(307) 347-6166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAT-005A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313088
BLUECROSS BLUESHIELD
WY
Enumeration date
03/19/2007
Last updated
08/14/2007
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