Provider Demographics
NPI:1972367969
Name:CROWLEY-HUGHES, RYAN J (LAC)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:J
Last Name:CROWLEY-HUGHES
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S BRIDGE ST APT C8
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3226
Mailing Address - Country:US
Mailing Address - Phone:848-391-4404
Mailing Address - Fax:
Practice Address - Street 1:150 S BRIDGE ST APT C8
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-3226
Practice Address - Country:US
Practice Address - Phone:848-391-4404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00196100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health