Individual
MR. RYAN BRYCE TARANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
15 UNION ST STE 200, LAWRENCE, MA 01840-1823
(978) 682-7289
Mailing address
110 BOSTON ST, SALEM, MA 01970-1402
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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