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Individual

JESSICA RIDGWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1873 MARLTON PIKE E STE 2-C, CHERRY HILL, NJ 08003-2012
(732) 982-2888
(847) 859-5885
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 737-8768
(847) 859-5885

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00309300
NJ
101YP2500X
Professional Counselor
Primary
37PC00677100
NJ

Other

Enumeration date
08/25/2017
Last updated
07/24/2019
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