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Individual
RYAN THOMAS NEACE
Active
Individual
RYAN THOMAS NEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC, CCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10406
CA
101YP2500X
Professional Counselor
0701005000
VA
101YP2500X
Professional Counselor
2013014281
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12399247
CAQH PROVIDER ID
—
Enumeration date
07/07/2012
Last updated
11/08/2023
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