Individual provider · Type 1 NPI

Ryan C. Shady

Mental Health Counselor · Lawton, OK

NPI number 1831607886 Active

Practice location

602 SW 38th St
Lawton, OK 73505-6912

Call (580) 248-5780 Map

Fax (580) 248-3610

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1831607886

Ryan C. Shady's National Provider Identifier is 1831607886, issued on Jan 11, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawton, OK. The record was last updated on Nov 30, 2023.