Most Relevant Information
Provider Data
| NPI Number: | 1003496548 |
| Provider Name: | RYAN WARREN ANDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | CG61146480 |
Most Important Dates
| Enumeration Date: | 04/09/2021 |
| Last Updated: | 04/09/2021 |
Provider Practice Location
2150 FREEMAN RD E
FIFE
WA
984243776
Practice Location Phone/Fax
| Phone: | 2539227833 |
| Fax: |
Provider Mailing Location
2701 N 16TH ST STE 316
PHOENIX
AZ
850061266
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |