Individual provider · Type 1 NPI
Jerry David Ryan, LPC.CRC.NCC, MS
Professional Counselor · Oregon City, OR
NPI number
1245667385
Active
Practice location
19142 Molalla Ave., Suite A,
Oregon City, OR 97045-7166
Fax (593) 632-5497
Mailing address
PO Box 548, 19142 Molalla Ave, Suite A
Oregon City, OR 97045-7166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | R2757 (OR) |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1245667385
Jerry David Ryan, LPC.CRC.NCC, MS's National Provider Identifier is 1245667385, issued on Oct 3, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oregon City, OR. The record was last updated on Nov 10, 2016.