Individual
MRS. KELLY EFCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 NEWTON SPARTA RD # C, NEWTON, NJ 07860-2773
(908) 979-1144
Mailing address
80 ESPANONG RD, LAKE HOPATCONG, NJ 07849-2219
(973) 634-8482
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00165700
NJ
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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