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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ACB0007620 (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.