Individual
RYAN R GROETKEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1601 MILITARY ROAD, SIOUX CITY, IA 51103-1715
(712) 252-4547
(712) 252-3785
Mailing address
1601 MILITARY ROAD, SIOUX CITY, IA 51103-1715
(712) 252-4547
(712) 252-3785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00802
IA
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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