| Patrick Ethan Ridge, | |
|
1777 Buckman Springs Rd, Campo, CA 91906-2022 | |
| (619) 478-5696 | |
| (619) 478-2404 |
| Full Name | Patrick Ethan Ridge |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1777 Buckman Springs Rd, Campo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306323381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 140069 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Ethan Ridge, 1777 Buckman Springs Rd, Campo, CA 91906-2022 Ph: (619) 478-5696 | Patrick Ethan Ridge, 1777 Buckman Springs Rd, Campo, CA 91906-2022 Ph: (619) 478-5696 |
Sebastian Shields, AMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1777 Buckman Springs Rd, Campo, CA 91906 Phone: 619-478-5696 | |
Sandra Estela Alarcon, IMF Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1326 Buckwheat Trl, Campo, CA 91906 Phone: 619-674-2465 | |
Mrs. Jodene Cuero, LMFT 102333 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 36650 Highway 94, Campo, CA 91906 Phone: 619-486-7385 | |
Joshua Knutson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 976 Sheridan Rd, Campo, CA 91906 Phone: 619-445-6200 |