Provider Demographics
NPI:1407356868
Name:NORTON, RYAN KATHLEEN (LPC, ATR-BC)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:KATHLEEN
Last Name:NORTON
Suffix:
Gender:F
Credentials:LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 BRANCH AVE
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2205
Mailing Address - Country:US
Mailing Address - Phone:732-673-1324
Mailing Address - Fax:
Practice Address - Street 1:119 BRANCH AVE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2205
Practice Address - Country:US
Practice Address - Phone:732-673-1324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00499800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional