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Individual

GALE D HOLTBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
430 S. JACKSON STREET, JACKSON, WY 83001
(307) 739-8825
Mailing address
PO BOX 8063, JACKSON, WY 83002-8063
(307) 739-8825
(307) 733-2331

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC306
WY
101YP2500X
Professional Counselor
Primary
LPC306
WY
106H00000X
Marriage & Family Therapist
LPC306
WY

Other

Enumeration date
10/04/2007
Last updated
10/04/2007
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