Individual provider · Type 1 NPI

Michele Ryan, CACII, CPSII

Addiction (Substance Use Disorder) Counselor · Boulder, CO

NPI number 1134535420 Active

Practice location

3450 Broadway St
Boulder, CO 80304-1824

Fax (303) 441-1976

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACB0007620 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134535420

Michele Ryan, CACII, CPSII's National Provider Identifier is 1134535420, issued on Jul 8, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2014.