Individual
MR. RYAN PAUL CARRUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHR, LADC, PLMHP
Contact information
Practice address
4730 S 131ST ST, OMAHA, NE 68137-1822
(402) 933-1504
(402) 933-1805
Mailing address
4730 S 131ST ST, OMAHA, NE 68137-1822
(402) 933-1504
(402) 933-1805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
801
NE
101YM0800X
Mental Health Counselor
9267
NE
Other
Enumeration date
08/31/2009
Last updated
10/03/2013
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