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Individual

RYAN C GUNNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S. LMFT

Contact information

Practice address
2405 BEMISS RD, VALDOSTA, GA 31602-1936
(229) 333-2351
(229) 333-2353
Mailing address
2405 BEMISS RD, VALDOSTA, GA 31602-1936

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001163
GA

Other

Enumeration date
10/14/2010
Last updated
10/14/2010
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