Individual
MR. KEVIN THOMAS RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., MFCT, LMFT
Contact information
Practice address
119 E 2ND ST STE 216, THE DALLES, OR 97058-1796
(541) 296-6114
(541) 296-6577
Mailing address
119 E 2ND ST STE 216, THE DALLES, OR 97058-1796
(541) 296-6114
(541) 296-6577
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC31395
CA
106H00000X
Marriage & Family Therapist
Primary
T0405
OR
Other
Enumeration date
10/24/2007
Last updated
02/16/2012
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