Ryan Wilson, MS, LAC. NCC, CPRP
NPI #1124592944 in East Brunswick, New Jersey
Provider Information
- NPI Number
- 1124592944
- Entity Type
- Individual
- Name
- Ryan Wilson, MS, LAC. NCC, CPRP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- MS, LAC. NCC, CPRP
- Enumeration Date
- Jan 15, 2019
- Last Updated
- Jan 15, 2019
Practice Location
- Address
- 15 W PROSPECT ST
- City
- East Brunswick
- State
- New Jersey
- ZIP Code
- 08816-2161
- Phone
- (732) 254-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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