MEDICARE: RYAN WINN

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1548102411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN WINN

Provider Business Mailing Address
First Line	:	800 KENSINGTON AVE STE 208
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-5670
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 KENSINGTON AVE STE 208
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-5670
Country	:	US
Telephone Number	:	406-830-3808
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ RYAN WINN ” Practice Location

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