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1194393934
JORDAN RYAN
WHEAT RIDGE, CO
NPI
1194393934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPCC.0017777)
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
JORDAN RYAN
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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Mailing Address
JORDAN RYAN
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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