Individual
CHRISTINE PETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, NCC, ATR-P
Contact information
Practice address
47 MILLER ST., NEWARK, NJ 07114
(973) 639-6574
Mailing address
175 HEYWOOD AVE, ORANGE, NJ 07050-3017
(607) 624-9367
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00891000
NJ
Other
Enumeration date
08/15/2025
Last updated
08/19/2025
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