Doctor Name: | LONNIE G GERHARTER |
NPI Number: | 1538283809 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED., LAT |
License Number: | LAT-005A |
Business Practice Address: | 206 S 7th St Worland, WY - 824013308 |
Business Phone Number: | 3073476165 |
Business Fax Number: | 3073476166 |
Mailing Address: | 206 S 7th St, WORLAND |
State: | WY |
Postal Code: | 824013308 |
Phone Number: | 3073476165 |
Fax Number: | 3073476166 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 08/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LAT-005A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |