| Doctor Name: | MR. RYAN BENSON FEEMSTER |
| NPI Number: | 1235414095 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.ED, NCC, LPC-A |
| License Number: | A8889 |
| Business Practice Address: | 2166 Gold Hill Rd Fort Mill, SC - 297089351 |
| Business Phone Number: | 8035263288 |
| Business Fax Number: | 8036755233 |
| Mailing Address: | 2879 Highway 160 W Ste 4388, FORT MILL |
| State: | SC |
| Postal Code: | 297088581 |
| Phone Number: | 8035263288 |
| Fax Number: | 8036755233 |
| NPI Enumeration Date: | 10/12/2011 |
| NPI Last Update Date: | 10/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A8889 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |