Individual
MICHELLE SHELLEY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
1745 S ALMA SCHOOL RD, SUITE 230, MESA, AZ 85210-3009
(480) 768-6022
(480) 831-0078
Mailing address
1745 S ALMA SCHOOL RD, SUITE 230, MESA, AZ 85210-3009
(480) 768-6022
(480) 831-0078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10470
AZ
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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