Individual
CARLY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LPAT
Contact information
Practice address
162 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3859
(201) 255-7925
Mailing address
116 GRAND AVE, PARK RIDGE, NJ 07656-1250
(201) 704-6348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00757700
NJ
Other
Enumeration date
03/31/2021
Last updated
05/25/2023
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