Ryan Wilson, MS, LAC. NCC, CPRP
Counselor in East Brunswick, NJ. Individual provider (NPI-1).
NPI number1124592944
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1124592944
- Entity type
- Individual (NPI-1)
- Name
- Ryan Wilson
- Credential
- MS, LAC. NCC, CPRP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2019
- Last updated
- Jan 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 37AC00398600 | NJ | Yes |
Practice location
15 W Prospect StEast Brunswick, NJ 08816-2161
Phone 732-254-0600
Mailing address
6 Oakwood PlCarteret, NJ 07008-1510
Phone 732-713-6772
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All 24 Counselor providers in East Brunswick · All 2,118 providers in East Brunswick
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