Individual
KRISTAL L RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP 00003106
Contact information
Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3753
(360) 397-8246
Mailing address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3753
(360) 397-8246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00003106
WA
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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