Gregory M Koufacos, MA, LCADC
Counselor, Addiction (Substance Use Disorder) in Bloomfield, New Jersey
1194028365- Practice location
- 32 Rector Pl, Bloomfield, NJ 07003-4031
- Phone
- 973-615-4308
- Fax
- —
- Last updated
- December 10, 2010
Gregory M. Koufacos is a Counselor, Addiction (Substance Use Disorder) based in Bloomfield, NJ. Gregory M. Koufacos practices in Bloomfield, NJ and has the professional credentials of MA, LCADC. The NPI Number for Gregory M. Koufacos is 1194028365 and holds a License No. 37LC00165100 (NJ). The current practice location address for Gregory M. Koufacos is 32 Rector Pl, Bloomfield, NJ 07003-4031 and can be reached out via phone at 973-615-4308.
Provider Profile Details
- NPI Number
- 1194028365
- Provider Name
- Gregory M. Koufacos
- Credential
- MA, LCADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 32 Rector Pl, Bloomfield, NJ 07003-4031
- Phone Number
- 973-615-4308
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 10, 2010
- Last Update Date
- December 10, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32 Rector Pl
Bloomfield, NJ 07003-4031 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-4031
- Phone Number
- 973-615-4308
Provider Business Mailing Address Details
- Address
- 32 Rector Pl
Bloomfield, NJ 07003-4031 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-4031
License Information
- License Number
- 37LC00165100
- License State
- NJ
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Bloomfield, NJ
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- Michelle L Fumosa, LCADC, ICADC, CCSCounselor, Addiction (Substance Use Disorder) · NPI 1306596093
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Frequently Asked Questions
What is the NPI number of Gregory M Koufacos, MA, LCADC?
The NPI number of Gregory M Koufacos, MA, LCADC is 1194028365. It was assigned on December 10, 2010 and is currently active in the NPPES registry.
What is the specialty of Gregory M Koufacos, MA, LCADC?
Gregory M Koufacos, MA, LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00165100.
Where does Gregory M Koufacos, MA, LCADC practice?
The practice location is 32 Rector Pl, Bloomfield, NJ 07003-4031. The office can be reached at 973-615-4308 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194028365 directly on the NPPES registry website.