Eddie Ryan, LCSW

NPI #1629307558 in Jackson, Wyoming

Provider Information

NPI Number
1629307558
Entity Type
Individual
Name
Eddie Ryan, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCSW
Enumeration Date
Dec 24, 2009
Last Updated
Dec 24, 2009

Practice Location

Address
610 W. BROADWAY SUITES
Address 2
SUITE L1
State
Wyoming
ZIP Code
83001
Phone
(307) 733-3908

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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