Individual
DANA PAVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., LPC
Contact information
Practice address
4 WILSEY SQ, SUITE 4, RIDGEWOOD, NJ 07450-3791
(201) 303-5936
Mailing address
4 WILSEY SQ, SUITE 4, RIDGEWOOD, NJ 07450-3791
(201) 303-5936
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00523600
NJ
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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