Individual
MR. JUSTIN FETRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
17 HAMPSHIRE CT, PATTERSON, NY 12563-2514
(914) 262-8081
Mailing address
39 SMITH AVE, MOUNT KISCO, NY 10549-2838
(914) 262-8081
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001098
NY
Other
Enumeration date
09/06/2014
Last updated
09/06/2014
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