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Individual

RYAN JOEL EMERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
807 4TH AVE, GRINNELL, IA 50112-2042
(641) 510-1381
(641) 243-2149
Mailing address
807 4TH AVE, GRINNELL, IA 50112-2042
(641) 510-1381
(641) 243-2149

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
074580
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4226765
IA
Enumeration date
01/29/2009
Last updated
07/01/2024
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