Individual
RYAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11403 W CRIMSON LN, AVONDALE, AZ 85392-3407
(412) 995-0165
Mailing address
11403 W CRIMSON LN, AVONDALE, AZ 85392-3407
(412) 995-0165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/21/2025
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