Individual
MS. ELLEN MARGARET RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00038100
NJ
106H00000X
Marriage & Family Therapist
37FI00160600
NJ
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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