Individual
MS. MARY KATHY EFREMEDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
288 RUES LN, EAST BRUNSWICK, NJ 08816-5699
(732) 877-6624
Mailing address
625 CARSON AVE, PERTH AMBOY, NJ 08861-2401
(732) 877-6624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00186500
NJ
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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