Individual provider · Type 1 NPI

Ryan Daniel Wall

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1750672580 Active

Practice location

429 Speers Rd
Santa Rosa, CA 95409-3123

Call (707) 571-2215 Map

Mailing address

PO Box 2587
Santa Rosa, CA 95405-0587

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1750672580

Ryan Daniel Wall's National Provider Identifier is 1750672580, issued on Apr 27, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 27, 2011.