Individual
CAROL E RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMHCI
Contact information
Practice address
715 N LAKE AVE, LAKELAND, FL 33801-1908
(863) 519-0575
(863) 582-9251
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH15923
FL
Other
Enumeration date
07/15/2013
Last updated
03/25/2020
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