Individual
CHAD RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTERS
Contact information
Practice address
41 PACELLA PARK DR, RANDOLPH, MA 02368-1755
(781) 437-1323
Mailing address
195 PLYMOUTH ST, HOLBROOK, MA 02343-1583
(781) 437-1323
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312677
—
MA
01
—
685661
TUFTS
MA
01
—
M18708
BLUE CROSS
MA
Enumeration date
02/28/2007
Last updated
07/08/2007
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