Individual
AMANDA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
573 HIGHLAND DR APT 6, SAN LUIS OBISPO, CA 93405-1129
(805) 781-3535
Mailing address
573 HIGHLAND DR APT 6, SAN LUIS OBISPO, CA 93405-1129
(805) 781-3535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2008
Last updated
12/20/2011
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