Provider Demographics
NPI:1295767895
Name:RYAN, KATHY ANN (LMHC)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:ANN
Last Name:RYAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 SEHMEL DR NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-8566
Mailing Address - Country:US
Mailing Address - Phone:253-851-6252
Mailing Address - Fax:253-853-7792
Practice Address - Street 1:6201 SEHMEL DR NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-8566
Practice Address - Country:US
Practice Address - Phone:253-549-9930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00010401101YM0800X
WALH 00010401101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health