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Individual
SEAN D RYAN
Active
Individual
SEAN D RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000473
VT
101YM0800X
Mental Health Counselor
Primary
0680054951
VT
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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