Individual
MS. JESSICA L RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1465 N 4TH ST STE 113, LARAMIE, WY 82072-2066
(307) 622-1481
Mailing address
1465 N 4TH ST STE 113, LARAMIE, WY 82072-2066
(307) 461-9905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1955
WY
101YP2500X
Professional Counselor
PPC-1136
WY
Other
Enumeration date
07/26/2019
Last updated
07/02/2021
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