Individual provider · Type 1 NPI

Ryan Grealis

Addiction (Substance Use Disorder) Counselor · Hartford, CT

NPI number 1770932139 Active

Practice location

55 Fishfry St
Hartford, CT 06120-1203

Mailing address

125 Franklin St
Feeding Hills, MA 01030-2309

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XMA79996167 (MA)

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

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About NPI 1770932139

Ryan Grealis's National Provider Identifier is 1770932139, issued on Jun 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hartford, CT. The record was last updated on Jun 7, 2016.