Individual provider · Type 1 NPI

Ryan Owen Bundren, LADAC II

Addiction (Substance Use Disorder) Counselor · Waynesboro, TN

NPI number 1679168397 Active

Practice location

703 Hurricane Creek Rd
Waynesboro, TN 38485-2226

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1408 (TN)

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

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About NPI 1679168397

Ryan Owen Bundren, LADAC II's National Provider Identifier is 1679168397, issued on Mar 4, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waynesboro, TN. The record was last updated on Jun 13, 2025.