Individual
SEAN D RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC, LADC
Contact information
Practice address
856 UPPER QUARRY RD, NEWPORT, VT 05855-8878
(802) 673-6088
Mailing address
856 UPPER QUARRY RD, NEWPORT, VT 05855-8878
(802) 673-6088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000473
VT
101YM0800X
Mental Health Counselor
Primary
0680054951
VT
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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