Individual
MR. JEFFREY SCOTT RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,CSAC
Contact information
Practice address
1136 WESTOWNE DR, NEENAH, WI 54956-2175
(920) 456-2030
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5280-125
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15254
WI
101YP2500X
Professional Counselor
Primary
5280-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39176400
—
WI
Enumeration date
02/19/2009
Last updated
05/12/2026
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