RYAN WILLARD LAC NPI 1770445033

NPI Information

  • NPI: 1770445033
  • Provider Name: RYAN WILLARD, LAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2509 S POWER RD STE 110
    MESA, AZ
    ZIP 85209
  • Phone: (480) 912-4691

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NPI Details

Ryan Willard, LAC is a mental health counselor in Mesa, AZ. Ryan Willard, LAC NPI is 1770445033. 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:

2509 S POWER RD STE 110
MESA, AZ
ZIP 85209-696
Phone: (480) 912-4691

The enumeration date for this NPI number is 11/25/2025 and was last updated on 11/25/2025.

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
1101YM0800XCounselorMental HealthLAC-23093ARIZONAYes

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: 11/21/2025

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