Individual
RYAN COVENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
5340 N CLARK ST, SUITE 212, CHICAGO, IL 60640-2120
(312) 600-5491
Mailing address
4610 N CLARK ST # 1037, CHICAGO, IL 60640-4620
(312) 741-3320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.011581
IL
101YM0800X
Mental Health Counselor
178.011581
IL
101YM0800X
Mental Health Counselor
180.011972
IL
101YP2500X
Professional Counselor
180.011972
IL
Other
Enumeration date
04/18/2016
Last updated
02/15/2023
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