Individual
DAKOTA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 WASHINGTON AVE STE 400, REDDING, CA 96001-2827
(530) 941-9003
Mailing address
2400 WASHINGTON AVE STE 400, REDDING, CA 96001-2827
(530) 941-9003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
143311
CA
Other
Enumeration date
04/12/2021
Last updated
12/01/2025
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