Individual
RYAN NIPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
1302 N LAWNWOOD CR, SUITE B, FORT PIERCE, FL 34950
(772) 468-6800
(772) 464-3800
Mailing address
1100 TREASURE CAY DR APT 103, FORT PIERCE, FL 34947-5373
(772) 323-4274
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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