Individual
KELLY MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLADC
Contact information
Practice address
445 CYPRESS ST STE 8, MANCHESTER, NH 03103-3600
(603) 668-4079
(603) 663-8605
Mailing address
445 CYPRESS ST STE 8, MANCHESTER, NH 03103-3600
(603) 668-4079
(603) 663-8605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0989
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/20/2012
Last updated
05/18/2020
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