Vivian Ryu Lcsw PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Sierra Vista, AZ. Organization (NPI-2).
NPI number1962030833
StatusActive
Last updated in NPPESMar 27, 2020
Details
- NPI
- 1962030833
- Entity type
- Organization (NPI-2)
- Legal business name
- Vivian Ryu Lcsw PLLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2020
- Certification date
- Mar 27, 2020
- Last updated
- Mar 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
2300 E Fry BlvdSierra Vista, AZ 85635-2712
Phone 520-559-4976
Mailing address
Po Box 3822Sierra Vista, AZ 85636-3822
Phone 520-220-6009
Authorized official
Vivian Ryu
Therapist
5202206009
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