Individual
CHRISTINE MARIE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
12 MARKET SQ APT 2, AMESBURY, MA 01913-2442
(978) 903-2030
Mailing address
19 SAGAMORE ST, HAVERHILL, MA 01830-2609
(978) 697-9384
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11386
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11386
LMHC
MA
Enumeration date
08/28/2013
Last updated
01/28/2020
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