Individual
MR. CHARLES RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
6706 N 9TH AVE STE B6, PENSACOLA, FL 32504-7378
(850) 745-4571
Mailing address
110 S PINEWOOD LN, PENSACOLA, FL 32507-1370
(850) 745-4571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12278
FL
Other
Enumeration date
01/15/2014
Last updated
03/01/2014
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