Individual provider · Type 1 NPI

Tara Lynne Ryan, LCASA

Addiction (Substance Use Disorder) Counselor · Wilmington, NC

NPI number 1497524714 Active

Practice location

615 Shipyard Blvd
Wilmington, NC 28412-6431

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X31024 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497524714

Tara Lynne Ryan, LCASA's National Provider Identifier is 1497524714, issued on Dec 28, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, NC. The record was last updated on Jun 26, 2025.