Individual
DENISE A RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LCAC
Contact information
Practice address
96 NANCY LN, GREENWOOD, IN 46142-4236
(317) 881-1057
Mailing address
96 NANCY LN, GREENWOOD, IN 46142-4236
(317) 881-1057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
35000374A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001063A
IN
Other
Enumeration date
02/13/2013
Last updated
09/05/2013
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