Individual
JANE MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
(253) 382-2091
Mailing address
951 9TH ST SE, #1, PUYALLUP, WA 98372-5750
(253) 377-4819
(253) 382-2091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001649
WA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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