Individual
BRIAH LESLIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
877 BALTIMORE ANNAPOLIS BLVD STE 202, SEVERNA PARK, MD 21146-4716
(443) 345-5048
Mailing address
621 LIONS GATE LN, ODENTON, MD 21113
(443) 345-5048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7967
MD
101YP1600X
Pastoral Counselor
LC7967
MD
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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