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

Ryan Nicole Malone, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962229674

Ryan Nicole Malone, SUDRC is an Addiction (Substance Use Disorder) Counselor in San Rafael, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1477 Lincoln Ave
San Rafael, CA 94901-2028
Phone: (415) 459-2395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 18305 (CA)

Record details

NPI number1962229674
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedSeptember 24, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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