Provider Demographics
NPI:1700428364
Name:FERRETTI, CANDICE LYNN (MS, LAC, NCC)
Entity Type:Individual
Prefix:MS
First Name:CANDICE
Middle Name:LYNN
Last Name:FERRETTI
Suffix:
Gender:F
Credentials:MS, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 MAUI DR
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-4705
Mailing Address - Country:US
Mailing Address - Phone:732-921-1494
Mailing Address - Fax:
Practice Address - Street 1:OCEAN MENTAL HEALTH SERVICES- CRISIS STABILIZATION
Practice Address - Street 2:712 E. BAY AVE STE 21-E
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050
Practice Address - Country:US
Practice Address - Phone:609-597-5327
Practice Address - Fax:609-597-6499
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00464800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health