Individual
RYAN WOOD LEISY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED; M.A.
Contact information
Practice address
1145 HIGH ST, LINCOLN, NE 68502-4440
(402) 423-6464
Mailing address
1145 HIGH ST, LINCOLN, NE 68502-4440
(402) 423-6464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9240
NE
Other
Enumeration date
06/12/2007
Last updated
10/14/2010
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