Individual
JAKE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3379 US HIGHWAY 46 APT 9E, PARSIPPANY, NJ 07054-1241
(631) 356-4844
Mailing address
3379 US HIGHWAY 46 APT 9E, PARSIPPANY, NJ 07054-1241
(631) 356-4844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC06430700
NJ
Other
Enumeration date
06/13/2022
Last updated
11/06/2025
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