Individual
GERALD RAY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4250 E. FLORIAN AVE, MESA, AZ 85206
(480) 969-3800
(480) 834-7003
Mailing address
4250 E. FLORIAN AVE, MESA, AZ 85206
(801) 943-8955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
55346736004
UT
Other
Enumeration date
06/07/2006
Last updated
06/29/2012
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