person
Mr. Jerry David Ryan, LPCCRCNCC,MS
Professional Counselor in Oregon City, Oregon
NPI 1245667385

Jerry David Ryan is a Professional Counselor based in Oregon City, OR and is specialized in Professional. Jerry David Ryan practices in Oregon City, OR and has the professional credentials of LPCCRCNCC,MS. The NPI Number for Jerry David Ryan is 1245667385 and holds a License No. R2757 (Oregon).

The current practice location address for Jerry David Ryan is 19142 Molalla Ave., Suite A,, Oregon City, OR and can be reached out via phone at 503-348-6177 and via fax at 593-632-5497.

Location: 19142 Molalla Ave., Suite A,, Oregon City, OR, 97045-7166
person
Provider Profile Details
NPI Number
1245667385
Provider Name
Jerry David Ryan
Credential
LPCCRCNCC,MS
Provider Entity Type
Individual
Gender
Male
Address
19142 Molalla Ave., Suite A,, Oregon City, OR, 97045-7166
Phone Number
503-348-6177
Fax Number
593-632-5497
Provider Enumeration Date
10/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5006884107 05 OR
institution
Provider Business Practice Location Address Details
Address
19142 Molalla Ave., Suite A,
City
State
Zip
97045-7166
Phone Number
503-348-6177
Fax Number
593-632-5497
person
Provider Business Mailing Address Details
Address
19142 Molalla Ave., Suite A,
City
State
Zip
97045-7166
Phone Number
503-348-6177
Fax Number
593-632-5497
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
R2757 (Oregon)
Definition
Definition to come...
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