Individual
RYAN HANBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1843 RW BERENDS DR SW, WYOMING, MI 49519-4955
(616) 773-2908
(616) 532-3046
Mailing address
1843 RW BERENDS DR SW, WYOMING, MI 49519-4955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401013960
MI
101YM0800X
Mental Health Counselor
6401013960
MI
101YP1600X
Pastoral Counselor
6401013960
MI
101YP2500X
Professional Counselor
Primary
6401013960
MI
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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