Individual
HEATHER WILKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
65 N MAPLE AVE # 2, RIDGEWOOD, NJ 07450-3233
(201) 612-8128
Mailing address
65 N MAPLE AVE STE 111, RIDGEWOOD, NJ 07450-3233
(201) 701-1340
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
37LC00160300
NJ
Other
Enumeration date
04/10/2014
Last updated
10/29/2021
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