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NPI Code Detail

MEDICARE: RYAN HOLDER LMHC

MEDICARE:   RYAN  HOLDER  LMHC
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
1101Y00000XCounselor1245NH

General Provider Information

NPI Number : 1902320260
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN HOLDER LMHC
Provider Business Mailing Address
First Line : 197 LONG POND RD
Second Line :
City : DANVILLE
State : NH
Zip : 03819-3127
Country : US
Telephone Number : 603-382-4661
Fax Number : 603-382-0571
Provider Business Practice Location Address
First Line : 197 LONG POND RD
Second Line :
City : DANVILLE
State : NH
Zip : 03819-3127
Country : US
Telephone Number : 603-382-4661
Fax Number : 603-382-0571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2017
Last Update Date : 07/28/2017

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