| Doctor Name: | JOSEPH DAVID RETIK |
| NPI Number: | 1043633845 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, CCH |
| License Number: | 37PC00488800 |
| Business Practice Address: | 470 Colfax Ave Clifton, NJ - 070131624 |
| Business Phone Number: | 9734732343 |
| Business Fax Number: | 9734732308 |
| Mailing Address: | 644 Grant Ave, MAYWOOD |
| State: | NJ |
| Postal Code: | 076071533 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2014 |
| NPI Last Update Date: | 01/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00488800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |