| Doctor Name: | MR. RYAN MICHAEL MACLEOD |
| NPI Number: | 1235531799 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LMFTA |
| License Number: | 9028A |
| Business Practice Address: | 32 Hickory St Badin, NC - 28009 |
| Business Phone Number: | 3366455145 |
| Business Fax Number: | |
| Mailing Address: | Po Box 81, BADIN |
| State: | NC |
| Postal Code: | 280090081 |
| Phone Number: | 3366455145 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2014 |
| NPI Last Update Date: | 09/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 9028A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |