Provider Demographics
NPI:1295160034
Name:ESSER, RYAN PATRICK (LMHC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:PATRICK
Last Name:ESSER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33825-9348
Mailing Address - Country:US
Mailing Address - Phone:863-452-0106
Mailing Address - Fax:863-452-5376
Practice Address - Street 1:100 W COLLEGE DR
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-9348
Practice Address - Country:US
Practice Address - Phone:863-452-0106
Practice Address - Fax:863-452-5376
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11972101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health