Kristen Ryan, LPC

Individual provider Active NPI Professional Counselor · Rumson, NJ

NPI 1144093683 · NPPES record last updated Nov 6, 2023

Key facts

NPI
1144093683
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
37PC00987900 (NJ)
Practice address
16 Riverside Dr
Rumson, NJ 07760-1048
Phone
(908) 868-3300
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37PC00987900NJMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00987900 NJ Yes

Addresses

Primary practice location

16 Riverside Dr
Rumson, NJ 07760-1048

Mailing address

16 Riverside Dr
Rumson, NJ 07760-1048
Phone (908) 868-3300

Other providers in Rumson, NJ

All providers in Rumson, NJ · Professional Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.