Individual
MS. MARY ELEANOR RISDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1692 ROUTE 88 STE 5, BRICK, NJ 08724-3014
(732) 768-2435
Mailing address
692 ROUTE 88, SUITE 5, BRICK, NJ 08724
(732) 768-2435
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00488700
NJ
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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