JACK RYAN, LADC, LPC

Counselor - Professional

Active Individual
NPI: 1922252246

Practice Address

2475 ALBANY AVE STE 203B
West Hartford, CT 06117

Phone: (860) 519-6492

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Counselor - Professional 101YP2500X Yes 003589 (CT)

Frequently Asked Questions

NPI 1922252246 is the National Provider Identifier for JACK RYAN, LADC, LPC, a Counselor - Professional provider located in West Hartford, CT. This NPI was enumerated on November 13, 2008.
JACK RYAN, LADC, LPC practices at 2475 ALBANY AVE STE 203B, West Hartford, CT 06117.

Quick Facts

NPI
1922252246
Type
Individual
Enumerated
Nov 13, 2008
Last Updated
Feb 8, 2019

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