Individual
ROBERT RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 KENSINGTON AVE STE 206, MISSOULA, MT 59801-5670
(406) 802-0704
Mailing address
PO BOX 1031, STEVENSVILLE, MT 59870-1031
(406) 802-0704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-44256
MT
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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