Individual
MS. JOAN M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACC, LCPC
Contact information
Practice address
610 N ROUTE 31, SUITE E, CRYSTAL LAKE, IL 60012
(815) 444-8469
(815) 479-1709
Mailing address
610 N ROUTE 31, SUITE E, CRYSTAL LAKE, IL 60012
(815) 444-8469
(815) 479-1709
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.010005
IL
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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