Individual
DOROTHY WINIFRED SACK-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 E RIDGEWOOD AVE STE 4&4A, RIDGEWOOD, NJ 07450-3935
(201) 670-8443
Mailing address
1156 E RIDGEWOOD AVE STE 4&4A, RIDGEWOOD, NJ 07450-3935
(201) 670-8443
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC-01298
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC-01298
NJ LICENSE NUMBER
NJ
Enumeration date
04/07/2022
Last updated
04/07/2022
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