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Organization
JAMES M RYAN
Active
Organization
JAMES M RYAN
Active
Other names
Ryan Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY ASBURY (BILLING MANAGER)
(301) 942-9773
Entity
Organization
Contact information
Practice address
19586 CLUB HOUSE RD, MONTGOMERY VILLAGE, MD 20886-3002
(301) 258-7771
(301) 258-9078
Mailing address
19586 CLUB HOUSE RD, MONTGOMERY VILLAGE, MD 20886-3002
(301) 258-7771
(301) 258-9078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA372
MD
101YM0800X
Mental Health Counselor
Primary
LC1361
MD
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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