Individual
RYAN MATTHEW WOODZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA NCC LPC-MHSP
Contact information
Practice address
2082 FORT HENRY DR, KINGSPORT, TN 37664-3602
(540) 679-9354
Mailing address
2082 FORT HENRY DR, KINGSPORT, TN 37664-3602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5120
TN
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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