Ryberg, Carrie L
Ryberg, Carrie L is an sole proprietor health care provider with primary practice located at 1670 Essex Way Suite A103, O Fallon IL 62269-3063. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ryberg, Carrie L can be contacted via phone (618) 589-8850.Contact Information
Primary practice address
1670 Essex Way Suite A103
O Fallon IL 62269-3063
Phone: (618) 589-8850
Fax: (618) 589-8851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.008471 | Illinois |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | RC00054786 | Washington |
Profile Details
| NPI number | 1720268782 |
|---|---|
| LBN Legal business name | Ryberg, Carrie L |
| Credentials | MA, LCPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Jun 11th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720268782 | NPPES |
| Illinois | Other | 180.008471 | LICENSE NUMBERG |
| Illinois | Other | 1720268782 | LICENSE NUMBERG |
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