Individual
MR. CASEY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, MA
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(800) 615-0411
Mailing address
6964 PEBBLE PARK CIR, WEST BLOOMFIELD, MI 48322-3510
(303) 242-2052
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CO
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
09/28/2017
Last updated
12/09/2025
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