Ryan, James M

Ryan, James M is an sole proprietor health care provider with primary practice located at 19630 Club House Rd Ste 715 , Montgomery Village MD 20886. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Ryan, James M can be contacted via phone (301) 258-7771.

Contact Information

Primary practice address
19630 Club House Rd Ste 715 Montgomery Village MD 20886
Phone: (301) 258-7771
Fax: (301) 258-9078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC1361 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA372 Maryland

Profile Details

NPI number 1558536102
LBN Legal business name Ryan, James M
Credentials LCPC LCADC CRC CDMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2008
Last updated Aug 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558536102 NPPES
Maryland Other LCA372 MD STATE LINCENSE

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