Individual provider · Type 1 NPI

Ryan Wilson, MS, LAC. NCC, CPRP

Counselor · East Brunswick, NJ

NPI number 1124592944 Active

Practice location

15 W Prospect St
East Brunswick, NJ 08816-2161

Call (732) 254-0600 Map

Mailing address

6 Oakwood Pl
Carteret, NJ 07008-1510

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC00398600 (NJ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124592944

Ryan Wilson, MS, LAC. NCC, CPRP's National Provider Identifier is 1124592944, issued on Jan 15, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in East Brunswick, NJ. The record was last updated on Jan 15, 2019.