Individual provider · Type 1 NPI
Tara Ryan, LPC
Mental Health Counselor · San Antonio, TX
NPI number
1386171189
Active
Practice location
6319 Maverick Oak Dr
San Antonio, TX 78240-2672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 74125 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 74125 (TX) |
| Professional Counselor | 101YP2500X | 74125 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1386171189
Tara Ryan, LPC's National Provider Identifier is 1386171189, issued on May 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Antonio, TX. The record was last updated on May 11, 2017.