Search › New Jersey › 101YA0400X
Gregory Koufacos, M.A., LCADC
NPI 1194028365 · on the registry since 2010 · sole proprietor
Practice
- Address
- 32 Rector Pl
Bloomfield, NJ 07003 - Phone
- (973) 615-4308
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey