Ryan O Theisen, LADC, LPCC

NPI #1376434597 in Plymouth, Minnesota

Provider Information

NPI Number
1376434597
Entity Type
Individual
Name
Ryan O Theisen, LADC, LPCC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LADC, LPCC
Enumeration Date
Jul 15, 2025
Last Updated
Jul 15, 2025

Practice Location

Address
2950 XENIUM LN N STE 130
ZIP Code
55441-2623
Phone
(612) 564-3535

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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