Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan Santo Squillacioti

Individual provider Mental Health Counselor · NPI 1760743447

Mr. Ryan Santo Squillacioti is a Mental Health Counselor in Gastonia, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1566 Union Rd
Gastonia, NC 28054-5301
Phone: (704) 833-8641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 445 Oak St, Copiague, NY 11726-3111 — (631) 691-7080

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11777 (NC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1760743447
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 30, 2012
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020

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