Individual
JENNIFER PATRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
85 CRESCENT AVE, PASSAIC, NJ 07055-2437
(973) 264-0023
Mailing address
4829 OAK AVE, TREVOSE, PA 19053-4853
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00262100
NJ
101YP2500X
Professional Counselor
Primary
37PC00693800
NJ
Other
Enumeration date
11/30/2018
Last updated
03/05/2026
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