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Individual
MR. RYAN THOMAS MARTIN
Active
Individual
MR. RYAN THOMAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PLC9658
LA
101YM0800X
Mental Health Counselor
Primary
PLC9658
LA
101YP2500X
Professional Counselor
PLC9658
LA
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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