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Individual

RYAN VERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCAC, LCPC

Contact information

Practice address
3205 CLINTON PARKWAY CT, LAWRENCE, KS 66047-2627
(785) 843-5483
Mailing address
3205 CLINTON PARKWAY CT, LAWRENCE, KS 66047-2627
(785) 843-5483

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00729
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17916
TX
101YP2500X
Professional Counselor
2869
KS

Other

Enumeration date
10/31/2014
Last updated
12/11/2020
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