Individual
RYAN CUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO 61009527
Contact information
Practice address
6330 31ST AVE NE STE 101, TULALIP, WA 98271-7423
(360) 716-2200
Mailing address
1622 E MARINE VIEW DR APT J403, EVERETT, WA 98201-2271
(425) 310-2019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61009527
WA
101YM0800X
Mental Health Counselor
MC70079479
WA
Other
Enumeration date
05/20/2020
Last updated
03/16/2026
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