Ryan Grealis Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Hartford, CT
- NPI
- 1770932139
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- MA79996167 (MA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-06-07
- Last updated
- 2016-06-07
Practice location
55 Fishfry St
Hartford, CT 06120-1203
(203) 635-4644