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

Ryan Owen Bundren, LADACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679168397

Ryan Owen Bundren, LADACII is an Addiction (Substance Use Disorder) Counselor in Waynesboro, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2021

Practice location Address checks out

703 Hurricane Creek Rd
Waynesboro, TN 38485-2226
Phone: (931) 279-6378
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 1408 (TN)

Record details

NPI number1679168397
Entity typeIndividual (Type 1)
GenderMale
Credentials LADACII
Sole proprietorYes
NPI enumeratedMarch 4, 2021
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

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