Individual provider · Type 1 NPI
Michelle Shelley Ryan, LISAC
Addiction (Substance Use Disorder) Counselor · Mesa, AZ
NPI number
1386942159
Active
Practice location
1745 S Alma School Rd, Suite 230
Mesa, AZ 85210-3009
Fax (480) 831-0078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-10470 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386942159
Michelle Shelley Ryan, LISAC's National Provider Identifier is 1386942159, issued on Mar 3, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mesa, AZ. The record was last updated on Mar 3, 2011.