Gregory M. Koufacos, M.A., LCADC
NPI #1194028365 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1194028365
- Entity Type
- Individual
- Name
- Gregory M. Koufacos, M.A., LCADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- M.A., LCADC
- Enumeration Date
- Dec 10, 2010
- Last Updated
- Dec 10, 2010
Practice Location
- Address
- 32 RECTOR PL
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-4031
- Phone
- (973) 615-4308
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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