Individual
RYAN HEYVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-8056
Mailing address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3359
KS
Other
Enumeration date
11/26/2019
Last updated
01/12/2022
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