Gary Byron, LPCC-S and IMFT
Counselor, Professional in Beachwood, OH. Individual provider (NPI-1).
NPI number1508050055
StatusActive
Last updated in NPPESNov 9, 2016
Details
- NPI
- 1508050055
- Entity type
- Individual (NPI-1)
- Name
- Gary Byron
- Credential
- LPCC-S and IMFT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2007
- Last updated
- Nov 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E.0003203 | OH | Yes |
| 101YM0800X | Counselor, Mental Health | E . 0003203 | OH | |
| 106H00000X | Marriage & Family Therapist | F . 0000072 | OH |
Practice location
24100 Chagrin Blvd#400
Beachwood, OH 44122-5535
Phone 216-831-1040 · Fax 216-831-2667
Mailing address
25700 Science Park Drive, Suite 200Landmark Centre.
Beachwood, OH 44122
Phone 216-831-1040 · Fax 216-831-2667
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