O'Donnell, Ryan James

O'Donnell, Ryan James is an sole proprietor health care provider with primary practice located at 1003 3Rd St. N. Suite 4 , Jacksonville Beach FL 32250. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. O'Donnell, Ryan James can be contacted via phone (904) 307-9130.

Contact Information

Primary practice address
1003 3Rd St. N. Suite 4 Jacksonville Beach FL 32250
Phone: (904) 307-9130
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 8296 Florida

Profile Details

NPI number 1447307525
LBN Legal business name O'Donnell, Ryan James
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447307525 NPPES
Florida MEDICAID 765256900

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