MEDICARE: RYAN DREWIANKA LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	4267	MN

General Provider Information

NPI Number	:	1396492344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN DREWIANKA LPCC

Provider Business Mailing Address
First Line	:	8673 EAGLE POINT BLVD STE 203
Second Line	:
City	:	LAKE ELMO
State	:	MN
Zip	:	55042-8661
Country	:	US
Telephone Number	:	612-217-0650
Fax Number	:

Provider Business Practice Location Address
First Line	:	8673 EAGLE POINT BLVD STE 203
Second Line	:
City	:	LAKE ELMO
State	:	MN
Zip	:	55042-8661
Country	:	US
Telephone Number	:	612-217-0650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2022
Last Update Date	:	04/13/2026

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Directions to “ RYAN DREWIANKA LPCC” Practice Location

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