Desiree Rae Ryan
Desiree Rae Ryan is a Mental Health Counselor in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
3830 S Cushman StFairbanks, AK 99701-7530
Phone: (907) 455-5304
Fax: (907) 455-1460
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1699068098 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 18, 2011 |
| Last updated in NPPES | February 24, 2012 |
| Mailing address | Po Box 72908, Fairbanks, AK 99707-2908 |
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