Individual
MR. RYLAND BOULDIN POWELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
74 PARKER AVE, MAPLEWOOD, NJ 07040-1746
(973) 763-2155
(973) 763-6225
Mailing address
74 PARKER AVE, MAPLEWOOD, NJ 07040-1746
(973) 763-2155
(973) 763-6225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC00017300
NJ
106H00000X
Marriage & Family Therapist
Primary
37F100055500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11234975
CIGNA BEHAV.HEALTH
—
Enumeration date
02/01/2007
Last updated
09/11/2025
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