Individual
JOHN O'RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1355 US-11, KIRKWOOD, NY 13795
(607) 203-1593
Mailing address
2007 KIM DR, ENDICOTT, NY 13760-1416
(516) 428-5650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
009324
NY
Other
Enumeration date
02/16/2019
Last updated
08/30/2022
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