Individual
RYAN DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1465 LAKELAND DR, JACKSON, MS 39216-4719
(769) 777-1080
Mailing address
1465 LAKELAND DR, JACKSON, MS 39216-4719
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1956
MS
Other
Enumeration date
03/02/2015
Last updated
01/05/2016
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