Ryan Tylon-Elijah Fields, MHC, MPA

NPI #1053938746 in Ridgewood, New York

Provider Information

NPI Number: 1053938746
Entity Type: Individual
Name: Ryan Tylon-Elijah Fields, MHC, MPA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MHC, MPA
Enumeration Date: Jun 29, 2020
Last Updated: Jun 29, 2020

Practice Location

Address: 5913 GROVE ST
City: Ridgewood
State: New York
ZIP Code: 11385-2647
Phone: (718) 506-5457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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