Patrick Ethan Ridge

NPI #1306323381 in Campo, California

Provider Information

NPI Number: 1306323381
Entity Type: Individual
Name: Patrick Ethan Ridge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Jul 23, 2018
Last Updated: Jul 19, 2023

Practice Location

Address: 1777 BUCKMAN SPRINGS RD
City: Campo
State: California
ZIP Code: 91906-2022
Phone: (619) 478-5696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Marriage & Family Therapist	106H00000X	Primary

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