James M Ryan in Montgomery Village - Addiction (substance Use Disorder)

James M Ryan - NPI 1558536102

James M Ryan is a Addiction (substance Use Disorder) in Montgomery Village, Maryland. James M Ryan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for James M Ryan is 1558536102. The last update date is 2018-08-23.

James M Ryan's current location address is 19630 Club House Rd Ste 715, Montgomery Village, Maryland. You can contact this provider via phone number 3012587771 and fax number 3012589078. The mailing address for James M Ryan is 19630 Club House Rd Ste 715, Montgomery Village, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name James M Ryan
Address 19630 Club House Rd Ste 715, Montgomery Village, Maryland
Phone Number 3012587771
Fax Number 3012589078
Sole Proprietor Y
Credentials LCPC LCADC

NPI Number Detail

NPI Number 1558536102
Provider Enumeration Date 2008-04-24
Last Updated Date 2018-08-23

Provider Mailing Address Detail

Address 19630 Club House Rd Ste 715
City Montgomery Village
State Maryland (MD)
Post Code 208863040
Phone Number 3012587771
Fax Number 3012589078

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LCA372
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LCA372 MD MD STATE LINCENSE

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FAQs about James M Ryan

What is the unique identifier code issued to James M Ryan by the Centers for Medicare & Medicaid Services?

The James M Ryan has been assigned the NPI (National Provider Identifier) 1558536102. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where James M Ryan is geographically located?

The James M Ryan is physically situated at the following location: 19630 Club House Rd Ste 715, Montgomery Village, MD, 208863040.

What is James M Ryan's specialized field of practice, and what is the corresponding taxonomy classification code?

The James M Ryan's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date was the 1558536102 assigned to James M Ryan?

The James M Ryan was issued its 1558536102 on 2008-04-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to James M Ryan most recently updated or revised?

The details related to James M Ryan, including its address, specialty, and other relevant information, were last updated or revised on 2018-08-23.

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