Patrick Ethan Ridge Valid NPI

Individual provider · Marriage & Family Therapist · Campo, CA

NPI

1306323381

Type

Individual (Type 1)

Primary specialty

Marriage & Family Therapist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

106H00000X

License number

140069 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2018-07-23

Last updated

2023-07-19