Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1194918573 |
---|---|
Provider Name | Mr. Ryan Charles Strunk |
First Address | Bellingham, WA 98225-6812 |
Second Address | Bellingham, WA 98225-6812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 20/08/2007 |