Individual
RYAN ROY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
335 N ALMA SCHOOL RD, CHANDLER, AZ 85224-4363
(480) 641-1165
Mailing address
391 E TORREY PINES PL, CHANDLER, AZ 85249-6985
(603) 785-2688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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