Individual
ELISABETH H COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
248 COLUMBIA TPKE, FLORHAM PARK, NJ 07932-1210
(917) 670-5257
Mailing address
37 RIDGEDALE AVE, SUMMIT, NJ 07901-3826
(917) 670-5257
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-11861
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00169100
NJ
1041C0700X
Clinical Social Worker
087039
NY
1041C0700X
Clinical Social Worker
Primary
44SC05378100
NJ
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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