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Individual
MR. RYAN WHITE
Active
Individual
MR. RYAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20490
NC
101YP2500X
Professional Counselor
Primary
0701011316
VA
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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