Individual
RYAN COWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAC
Contact information
Practice address
515 ENTERPRISE DR STE 300, LOWELL, AR 72745-8982
(479) 717-7626
Mailing address
407 W WORCHESTER, SILOAM SPRINGS, AR 72761-8973
(831) 801-8935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1706223
AR
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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