Individual
MR. RYAN BOLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSWI
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-3222
Mailing address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 428-4257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/28/2019
Last updated
03/15/2022
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