Individual
MICHAEL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LGPC
Contact information
Practice address
15309 DIAMOND COVE TER APT B, ROCKVILLE, MD 20850-4687
(301) 801-6098
Mailing address
15309 DIAMOND COVE TER APT B, ROCKVILLE, MD 20850-4687
(301) 801-6098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP10667
MD
Other
Enumeration date
07/28/2020
Last updated
08/12/2020
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