Individual
KATHARINE M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW, LADC
Contact information
Practice address
650 SUFFOLK ST, LOWELL, MA 01854-3642
(978) 452-5155
Mailing address
650 SUFFOLK ST, LOWELL, MA 01854-3642
(978) 452-5155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
479
MA
Other
Enumeration date
05/18/2013
Last updated
05/18/2013
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