# RYAN P SCRIVNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336656990
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | CG60708168 | WA | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 01/11/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CG60708168 | DEPT OF HEALTH CREDENTIAL | WA |