Individual
JOANNE M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC1
Contact information
Practice address
215 SHELBURNE RD, GREENFIELD, MA 01301-9622
(413) 774-1000
(413) 774-1197
Mailing address
92 BRECKWOOD BLVD, SPRINGFIELD, MA 01109-1303
(413) 785-7555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
338
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338
LICENSE
MA
Enumeration date
12/14/2006
Last updated
07/08/2007
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