| Doctor Name: | MRS. CARRIE L RYBERG |
| NPI Number: | 1720268782 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LCPC, NCC |
| License Number: | RC00054786 |
| Business Practice Address: | 1670 Essex Way Suite A103 O Fallon, IL - 622693063 |
| Business Phone Number: | 6185898850 |
| Business Fax Number: | 6185898851 |
| Mailing Address: | 528 Streamstone Ln, MASCOUTAH |
| State: | IL |
| Postal Code: | 622581538 |
| Phone Number: | 6184771331 |
| Fax Number: | 6185660030 |
| NPI Enumeration Date: | 11/07/2007 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | RC00054786 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |