Individual
MR. RYAN CHRISTOPHER FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRSW
Contact information
Practice address
10 FERRY ST STE 319, CONCORD, NH 03301-5081
(603) 931-3700
Mailing address
10 FERRY ST STE 319, CONCORD, NH 03301-5081
(603) 931-3700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0006
NH
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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