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Individual
RYAN RUNYON
Active
Individual
RYAN RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RAS, CSC,CAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
03-075996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-075996
CAS
CA
Enumeration date
10/30/2013
Last updated
10/30/2013
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