Individual
RYAN O'NEIL GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCA1
Contact information
Practice address
4747 OLD DUBLIN RD, MAYFIELD, KY 42066-8404
(800) 213-7073
Mailing address
508 N 6TH ST, MAYFIELD, KY 42066-1610
(270) 309-0075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
281748
KY
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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