Individual
CARRIE A RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
2 CROCKER BLVD, MOUNT CLEMENS, MI 48043-2528
(586) 468-2266
Mailing address
11 LAFAYETTE ST, MOUNT CLEMENS, MI 48043-1655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L1610877
MI
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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