| Carol Ryan | |
|
109 E Clinton St Ste 100 Goshen IN 46528-3233 | |
| (269) 447-1009 | |
| Not Available |
| Full Name | Carol Ryan |
|---|---|
| Speciality | Counselor - Professional |
| Location | 109 E Clinton St Ste 100, Goshen, Indiana |
| Authorized Official Name and Position | Carol Ryan (OWNER) |
| Authorized Official Contact | 2694471009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Ryan 601 S Main St Unit 825 Elkhart IN 46515-5143 Ph: () - | Carol Ryan 109 E Clinton St Ste 100 Goshen IN 46528-3233 Ph: (269) 447-1009 |
| NPI Number | 1922744689 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922744689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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