Individual
MR. RYAN MICHAEL MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFTA
Contact information
Practice address
32 HICKORY ST, BADIN, NC 28009
(336) 645-5145
Mailing address
PO BOX 81, BADIN, NC 28009-0081
(336) 645-5145
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
9028A
NC
106H00000X
Marriage & Family Therapist
Primary
9028A
NC
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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