Organization
RYAN EVANS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN THOMAS EVANS LIMHP, LADC (OWNER)
(402) 330-1537
Entity
Organization
Contact information
Practice address
12728 AUGUSTA AVE STE 150, OMAHA, NE 68144-3753
(402) 330-1537
(402) 330-9331
Mailing address
12728 AUGUSTA AVE STE 150, OMAHA, NE 68144-3753
(402) 330-1537
(402) 330-9331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1189
NE
101YM0800X
Mental Health Counselor
Primary
1692
NE
101YP2500X
Professional Counselor
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600894738
—
NE
Enumeration date
08/02/2018
Last updated
08/02/2018
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