MARK CONLEY RYAN

SACRAMENTO, CA
NPI1942719638
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1257170717)
Enumeration Date2017-09-25
Last Update Date2017-09-25
Business Address
MARK CONLEY RYAN RADT-1
3800 POWER INN RD
SACRAMENTO, CA 95826-4333
Phone number: 916-450-0700
Mailing Address
MARK CONLEY RYAN RADT-1
9401 ROAN RANCH CIR
ELK GROVE, CA 95624-4614
Phone number: 619-218-8609
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