Individual provider · Type 1 NPI

Desiree Rae Ryan

Mental Health Counselor · Fairbanks, AK

NPI number 1699068098 Active

Practice location

3830 S Cushman St
Fairbanks, AK 99701-7530

Call (907) 455-5304 Map

Fax (907) 455-1460

Mailing address

PO Box 72908
Fairbanks, AK 99707-2908

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699068098

Desiree Rae Ryan's National Provider Identifier is 1699068098, issued on May 18, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Feb 24, 2012.