Individual
RYAN KAWATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 W 5TH ST, HASTINGS, NE 68901-5104
(402) 463-5686
(402) 463-5686
Mailing address
PO BOX 1715, KEARNEY, NE 68848-1715
(308) 237-5951
(308) 234-4018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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