Individual
KATEY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SACIT
Contact information
Practice address
115 N CENTER ST, BEAVER DAM, WI 53916-2119
(920) 887-1766
Mailing address
705 E NEVADA AVE, OSHKOSH, WI 54901-3060
(920) 254-1727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20202-130
WI
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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