Individual
BETHANY LOWE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 FAIRBURN RD, DOUGLASVILLE, GA 30135-1037
(770) 726-7958
(770) 693-0829
Mailing address
2109 FAIRBURN RD, DOUGLASVILLE, GA 30135-1037
(770) 726-7958
(770) 693-0829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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