RYAN STANLEY

WORCESTER, MA
NPI1588003263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2013-06-17
Last Update Date2013-06-17
Business Address
-- RYAN STANLEY
585 LINCOLN ST
WORCESTER, MA 01605-1906
Phone number: 508-831-0045
Mailing Address
-- RYAN STANLEY
585 LINCOLN ST
WORCESTER, MA 01605-1906
Phone number: 508-831-0045