Individual
KATHERINE M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Mailing address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAT-328
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
WYPAT038
WY
101YM0800X
Mental Health Counselor
WYPAT038
WY
Other
Enumeration date
12/17/2009
Last updated
07/02/2013
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