Organization
VIVIAN RYU LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN RYU LCSW (THERAPIST)
(520) 220-6009
Entity
Organization
Contact information
Practice address
2300 E FRY BLVD, SIERRA VISTA, AZ 85635-2712
(520) 559-4976
Mailing address
PO BOX 3822, SIERRA VISTA, AZ 85636-3822
(520) 220-6009
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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