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Individual
RYAN JEROME TINGLEY
Active
Individual
RYAN JEROME TINGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROVISIONAL LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0676
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/23/2018
Last updated
09/07/2022
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