Individual
RYAN G WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 ORANGEWOOD WAY, OROVILLE, CA 95965-3314
(530) 965-2906
Mailing address
10 ORANGEWOOD WAY, OROVILLE, CA 95965-3314
(530) 965-2906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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