Ryan, Dawn Marie

Ryan, Dawn Marie is an individual health care provider with primary practice located at 1266 14Th St , Oakland CA 94607-2205. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ryan, Dawn Marie can be contacted via phone (510) 421-7213.

Contact Information

Primary practice address
1266 14Th St Oakland CA 94607-2205
Phone: (510) 421-7213
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC42697 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BCBA 1-13-12958
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPCC 1526 California

Profile Details

NPI number 1104975911
LBN Legal business name Ryan, Dawn Marie
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 10th, 2015 - about 9 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 1104975911 NPPES
California MEDICAID 0000007BW

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