Individual
MR. RYAN WISHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LCAS
Contact information
Practice address
910 EAST BLVD STE 203, CHARLOTTE, NC 28203-5204
(704) 816-0667
Mailing address
910 EAST BLVD STE 203, CHARLOTTE, NC 28203-5204
(704) 816-0667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2921
NC
106H00000X
Marriage & Family Therapist
Primary
1492
NC
Other
Enumeration date
10/29/2011
Last updated
11/09/2024
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