Individual
RYAN JOSEPH SHEATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1900 SILVER LAKE RD NW, #110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Mailing address
569 FAIRVIEW AVE S, ST. PAUL, MN 55116
(612) 709-2104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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