Individual
JAMES M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8656
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-3622072
IRS
—
Enumeration date
08/09/2022
Last updated
08/11/2022
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