Jessica L Ryan, LPC
Counselor, Professional in Laramie, WY. Individual provider (NPI-1).
NPI number1033763164
StatusActive
Last updated in NPPESJul 2, 2021
Details
- NPI
- 1033763164
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica L Ryan
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2019
- Certification date
- Jul 2, 2021
- Last updated
- Jul 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC-1955 | WY | Yes |
| 101YP2500X | Counselor, Professional | PPC-1136 | WY |
Practice location
1465 N 4th St Ste 113Laramie, WY 82072-2066
Phone 307-622-1481
Mailing address
1465 N 4th St Ste 113Laramie, WY 82072-2066
Phone 307-461-9905
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