Individual
SOPHIA KERKOULAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9202 FIELDSTONE DR, MOUNT ARLINGTON, NJ 07856-1463
(973) 876-8993
Mailing address
9202 FIELDSTONE DR, MOUNT ARLINGTON, NJ 07856-1463
(973) 876-8993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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