Individual
RYAN OWEN BUNDREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC II
Contact information
Practice address
703 HURRICANE CREEK RD, WAYNESBORO, TN 38485-2226
(931) 279-6378
Mailing address
703 HURRICANE CREEK RD, WAYNESBORO, TN 38485-2226
(931) 279-6378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1408
TN
Other
Enumeration date
03/04/2021
Last updated
06/13/2025
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