person
James M Ryan, LCPCLCADCCRCCDMS
Addiction (Substance Use Disorder) Counselor in Montgomery Village, Maryland
NPI 1558536102

James M Ryan is an Addiction (Substance Use Disorder) Counselor based in Montgomery Village, MD and is specialized in Addiction (Substance Use Disorder). James M Ryan practices in Montgomery Village, MD and has the professional credentials of LCPCLCADCCRCCDMS. The NPI Number for James M Ryan is 1558536102 and holds a License No. LC1361 (Maryland).

The current practice location address for James M Ryan is 19630 Club House Rd Ste 715, Montgomery Village, MD and can be reached out via phone at 301-258-7771 and via fax at 301-258-9078.

Location: 19630 Club House Rd Ste 715, Montgomery Village, MD, 20886-3040
person
Provider Profile Details
NPI Number
1558536102
Provider Name
James M Ryan
Credential
LCPCLCADCCRCCDMS
Provider Entity Type
Individual
Gender
Male
Address
19630 Club House Rd Ste 715, Montgomery Village, MD, 20886-3040
Phone Number
301-258-7771
Fax Number
301-258-9078
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCA372 01 MD MD STATE LINCENSE
institution
Provider Business Practice Location Address Details
Address
19630 Club House Rd Ste 715
City
State
Zip
20886
Phone Number
301-258-7771
Fax Number
301-258-9078
person
Provider Business Mailing Address Details
Address
19630 Club House Rd Ste 715
City
State
Zip
20886
Phone Number
301-258-7771
Fax Number
301-258-9078
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCA372 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC1361 (Maryland)
Definition
Definition to come...
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