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Individual

MR. MARK ALLEN RYAN

Active
Find providers by NPI
Individual

MR. MARK ALLEN RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1365
MT
101YP2500X
Professional Counselor
002638
MO
106H00000X
Marriage & Family Therapist
300130
MO

Other

Enumeration date
10/12/2009
Last updated
10/12/2009
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