JAMES M RYAN LCPC LCADC CRC CDMS NPI 1558536102

NPI Information

NPI: 1558536102
Provider Name: JAMES M RYAN, LCPC LCADC CRC CDMS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
19630 CLUB HOUSE RD STE 715
MONTGOMERY VILLAGE, MD
ZIP 20886
Phone: (301) 258-7771
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James M Ryan, LCPC LCADC CRC CDMS is an addiction (substance use disorder) counselor in Montgomery Village, MD. James M Ryan, LCPC LCADC CRC CDMS NPI is 1558536102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19630 CLUB HOUSE RD STE 715
MONTGOMERY VILLAGE, MD
ZIP 20886
Phone: (301) 258-7771
Fax: (301) 258-9078

The enumeration date for this NPI number is 4/24/2008 and was last updated on 8/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LC1361	MARYLAND	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCA372	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LCA372	OTHER	MARYLAND	MD STATE LINCENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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