Individual
RYAN RUSSELL CHANIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
809 LAMONT ST, JOHNSON CITY, TN 37604-5453
(423) 926-1171
Mailing address
809 LAMONT ST, JOHNSON CITY, TN 37604-5453
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9809
TN
Other
Enumeration date
01/19/2021
Last updated
08/04/2025
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