Individual
ALISA JO RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED., LMHP
Contact information
Practice address
514 W 11TH ST, KEARNEY, NE 68845-7336
(308) 237-4085
Mailing address
514 W 11TH ST, KEARNEY, NE 68845-7336
(308) 340-3038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4262
NE
101YM0800X
Mental Health Counselor
8541
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10029607400
—
NE
Enumeration date
09/11/2008
Last updated
10/20/2025
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