Kelly, Mark Ryan
Kelly, Mark Ryan is an individual health care provider with primary practice located at 802 E Crestwood Dr , Victoria TX 77901-3309. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kelly, Mark Ryan can be contacted via phone (361) 576-4673.Contact Information
Primary practice address
802 E Crestwood Dr
Victoria TX 77901-3309
Phone: (361) 576-4673
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13402 | Texas |
Profile Details
| NPI number | 1366804742 |
|---|---|
| LBN Legal business name | Kelly, Mark Ryan |
| Credentials | LPC, LCDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2016 |
| Last updated | Jan 24th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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