Individual
MICHELE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACII, CPSII
Contact information
Practice address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1100
(303) 441-1976
Mailing address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1100
(303) 441-1976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB0007620
CO
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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