Individual provider · Type 1 NPI

Eddie Ryan, LCSW

Addiction (Substance Use Disorder) Counselor · Jackson, WY

NPI number 1629307558 Active

Practice location

610 W. Broadway Suites, Suite L1
Jackson, WY 83001

Call (307) 733-3908 Map

Fax (307) 734-0017

Mailing address

PO Box 11390
Jackson, WY 83002-1390

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X527 (WY)

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

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About NPI 1629307558

Eddie Ryan, LCSW's National Provider Identifier is 1629307558, issued on Dec 24, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, WY. The record was last updated on Dec 24, 2009.