Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN OWEN BUNDREN, LADAC II
Active Sole ProprietorRYAN OWEN BUNDREN, LADAC II is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WAYNESBORO, Tennessee. NPI 1679168397 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WAYNESBORO, TN
Registration Details
- NPI Number
- 1679168397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 4, 2021 (5.264883354757 yrs)
- Last Updated
- Jun 13, 2025
- License
-
1408 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
703 HURRICANE CREEK RDWAYNESBORO, TN, 384852226Browse TN providers · Browse ZIP 38485
- Phone
- 9312796378
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in WAYNESBORO, TN
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT R. JOHANNES | M.S. L.A.D.A.C. | 1902934011 |
| TED R GRAVES | — | 1821583071 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.