Individual
RYAN JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, ATR
Contact information
Practice address
500 COVENTRY LN, SUITE 205, CRYSTAL LAKE, IL 60014-7579
(815) 455-7100
(815) 455-3951
Mailing address
500 COVENTRY LN, SUITE 205, CRYSTAL LAKE, IL 60014-7579
(815) 455-7100
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000811
IL
Other
Enumeration date
01/14/2011
Last updated
08/05/2011
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