Individual provider · Type 1 NPI

Jennifer Patridge, LAC

Professional Counselor · Passaic, NJ

NPI number 1922578095 Active

Practice location

85 Crescent Ave
Passaic, NJ 07055-2437

Mailing address

4829 Oak Ave
Trevose, PA 19053-4853

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00693800 (NJ)

Professional Counselor: Definition to come...

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About NPI 1922578095

Jennifer Patridge, LAC's National Provider Identifier is 1922578095, issued on Nov 30, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Passaic, NJ. The record was last updated on Mar 5, 2026.