Individual provider · Type 1 NPI

Ryann M. Illan, CG60906357

Mental Health Counselor · Seattle, WA

NPI number 1376015446 Active

Practice location

1600 S Lane St
Seattle, WA 98144-2810

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG60906357 (WA)

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About NPI 1376015446

Ryann M. Illan, CG60906357's National Provider Identifier is 1376015446, issued on Dec 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Dec 29, 2018.