Individual
RYAN FORBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
W3275 WOLF RIVER DR, KESHENA, WI 54135-0970
(715) 799-3361
Mailing address
412 W PICNIC ST, SHAWANO, WI 54166-2820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17631-130
WI
101YP2500X
Professional Counselor
Primary
7003-125
WI
Other
Enumeration date
03/30/2016
Last updated
06/11/2020
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