Individual
KELLY ANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 JACKSON ST, LOWELL, MA 01852-2103
(978) 866-6688
Mailing address
216 BOYLSTON ST, LOWELL, MA 01852-4916
(978) 866-6688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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