Individual
MS. KRISTINA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10 MECHANIC ST, SUITE 301, WORCESTER, MA 01608-2420
(508) 792-5400
(508) 831-0074
Mailing address
100 PLAISTOW RD, HAVERHILL, MA 01830-1419
(978) 373-4985
(978) 374-0622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
554246948
MASTERS
MA
Enumeration date
06/10/2014
Last updated
06/10/2014
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