Individual
KATHLEEN A RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 754-9763
Mailing address
1549 JOINER RD, COLUMBIA, SC 29209-2207
(803) 647-7656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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