Individual
MR. RYAN THOMAS EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHP, PLADC
Contact information
Practice address
12728 AUGUSTA AVE, OMAHA, NE 68144-3754
(402) 330-1537
(402) 330-9331
Mailing address
12728 AUGUSTA AVE, OMAHA, NE 68144-3754
(402) 330-1537
(402) 330-9331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4511
NE
Other
Enumeration date
02/22/2013
Last updated
02/04/2015
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