Individual provider · Type 1 NPI

Ryan Willard, LAC

Mental Health Counselor · Mesa, AZ

NPI number 1770445033 Active

Practice location

2509 S Power Rd Ste 110
Mesa, AZ 85209-6696

Mailing address

4025 E Gail Ct
Gilbert, AZ 85296-9603

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-23093 (AZ)

Mental Health Counselor: Definition to come...

14 other providers at this address

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About NPI 1770445033

Ryan Willard, LAC's National Provider Identifier is 1770445033, issued on Nov 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Nov 25, 2025.