Individual
MR. RYAN GERALD POTEMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
7617 N VILLA WOOD LN, PEORIA, IL 61614-1588
(309) 693-8200
Mailing address
7617 N VILLA WOOD LN, PEORIA, IL 61614-1588
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001366
IL
Other
Enumeration date
08/01/2017
Last updated
03/07/2024
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