Individual
MRS. CARRIE L RYBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC, NCC
Contact information
Practice address
528 STREAMSTONE LN, MASCOUTAH, IL 62258-1538
(618) 477-1331
(618) 566-0030
Mailing address
528 STREAMSTONE LN, MASCOUTAH, IL 62258-1538
(618) 477-1331
(618) 566-0030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00054786
WA
101YP2500X
Professional Counselor
Primary
180.008471
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720268782
NPI
IL
01
—
180.008471
LICENSE NUMBERG
IL
Enumeration date
11/07/2007
Last updated
08/01/2024
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