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Individual

MICHAEL RYAN MEGONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1169 N MAIN ST, BLUFFTON, IN 46714-1360
(725) 400-4854
Mailing address
900 W PARK DR, HUNTINGTON, IN 46750-2622
(260) 452-9218

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003789A
IN

Other

Enumeration date
07/18/2022
Last updated
07/18/2022
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