RYAN LORENZO

KELSO, WA
NPI1881151850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60932825)
Enumeration Date2019-02-26
Last Update Date2019-02-26
Business Address
RYAN LORENZO CDPT
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
Mailing Address
RYAN LORENZO CDPT
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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