GREGORY M. KOUFACOS

BLOOMFIELD, NJ
NPI1194028365
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00165100)
Enumeration Date2010-12-10
Last Update Date2010-12-10
Business Address
-- GREGORY M. KOUFACOS M.A., LCADC
32 RECTOR PL
BLOOMFIELD, NJ 07003-4031
Phone number: 973-615-4308
Mailing Address
-- GREGORY M. KOUFACOS M.A., LCADC
32 RECTOR PL
BLOOMFIELD, NJ 07003-4031
Phone number:
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