Individual
RYAN BROTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4979 HARLEM RD, AMHERST, NY 14226-2547
(716) 923-4380
(716) 923-4384
Mailing address
4979 HARLEM RD, AMHERST, NY 14226-2547
(716) 923-4380
(716) 923-4384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-24617
NY
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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