Individual provider · Type 1 NPI
Mary Eleanor Risden, LPC
Professional Counselor · Brick, NJ
NPI number
1265850648
Active
Practice location
1692 Route 88 Ste 5
Brick, NJ 08724-3014
Mailing address
692 Route 88, Suite 5
Brick, NJ 08724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00488700 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1265850648
Mary Eleanor Risden, LPC's National Provider Identifier is 1265850648, issued on Apr 2, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brick, NJ. The record was last updated on Apr 2, 2014.