Individual provider · Type 1 NPI
Heather Wilke, LPC, LCADC
Professional Counselor · Ridgewood, NJ
NPI number
1811316425
Active
Practice location
65 N Maple Ave # 2
Ridgewood, NJ 07450-3233
Mailing address
65 N Maple Ave Ste 111
Ridgewood, NJ 07450-3233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37LC00160300 (NJ) |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1811316425
Heather Wilke, LPC, LCADC's National Provider Identifier is 1811316425, issued on Apr 10, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ridgewood, NJ. The record was last updated on Oct 29, 2021.