Individual
DONNA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, NCC
Contact information
Practice address
337 MARKET ST, SADDLE BROOK, NJ 07663-5313
(201) 880-7920
Mailing address
134 BERKELEY AVE, BLOOMFIELD, NJ 07003-5725
(973) 634-0178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00242500
NJ
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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