Individual
JAMIE LEE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
47 PEACH TREE AVE, EAST HANOVER, NJ 07936-1559
(973) 362-8924
Mailing address
47 PEACH TREE AVE, EAST HANOVER, NJ 07936-1559
(973) 362-8924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC000343000
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06019000
NJ
1041C0700X
Clinical Social Worker
LSW0000008969
TN
Other
Enumeration date
11/15/2018
Last updated
11/04/2024
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