RYAN BLAIR VIVIANO

HOUSTON, TX
NPI1275808818
Other NameRYAN BLAIR JOHNSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  56056)
Enumeration Date2012-03-15
Last Update Date2020-01-24
Business Address
Mr. RYAN BLAIR VIVIANO LCSW, LCDC
1415 CALIFORNIA ST
HOUSTON, TX 77006-2602
Phone number: 832-548-5000
Mailing Address
Mr. RYAN BLAIR VIVIANO LCSW, LCDC
PO BOX 66308 ATTN: BILLING CREDENTIALING
HOUSTON, TX 77266-6308
Phone number:
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