Individual
LORENE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0183461
NM
101YP2500X
Professional Counselor
Primary
CCMH0183461
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03851834
—
NM
Enumeration date
10/17/2014
Last updated
09/30/2019
Update your record
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