Individual provider · Type 1 NPI

Mark Conley Ryan, RADT-1

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1942719638 Active

Practice location

3800 Power Inn Rd
Sacramento, CA 95826-4333

Call (916) 450-0700 Map

Mailing address

9401 Roan Ranch Cir
Elk Grove, CA 95624-4614

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1257170717 (CA)

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

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About NPI 1942719638

Mark Conley Ryan, RADT-1's National Provider Identifier is 1942719638, issued on Sep 25, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Sep 25, 2017.