Individual provider · Type 1 NPI
Gregory M. Koufacos, M.A., LCADC
Addiction (Substance Use Disorder) Counselor · Bloomfield, NJ
NPI number
1194028365
Active
Practice location
32 Rector Pl
Bloomfield, NJ 07003-4031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00165100 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1194028365
Gregory M. Koufacos, M.A., LCADC's National Provider Identifier is 1194028365, issued on Dec 10, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomfield, NJ. The record was last updated on Dec 10, 2010.