Individual provider · Type 1 NPI
Kristin Doherty, LPC
Professional Counselor · Ridgewood, NJ
NPI number
1295125607
Active
Practice location
61 N Maple Ave Ste 204A
Ridgewood, NJ 07450-3232
Mailing address
332 Roosevelt Ave
Hasbrouck Heights, NJ 07604-1614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00314400 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1295125607
Kristin Doherty, LPC's National Provider Identifier is 1295125607, issued on Jan 24, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ridgewood, NJ. The record was last updated on Jan 24, 2015.