Provider Demographics
NPI:1649752643
Name:REDDING, CAITLIN (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:REDDING
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2103
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-7703
Mailing Address - Country:US
Mailing Address - Phone:973-917-8492
Mailing Address - Fax:
Practice Address - Street 1:420 BOULEVARD STE 101
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1733
Practice Address - Country:US
Practice Address - Phone:973-321-4380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00765900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health