Most Relevant Information
Provider Data
| NPI Number: | 1003399593 |
| Provider Name: | KELLY EFCHAK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 37LC00165700 |
Most Important Dates
| Enumeration Date: | 09/11/2018 |
| Last Updated: | 09/11/2018 |
Provider Practice Location
39 NEWTON SPARTA RD # C
NEWTON
NJ
078602773
Practice Location Phone/Fax
| Phone: | 9089791144 |
| Fax: |
Provider Mailing Location
80 ESPANONG RD
LAKE HOPATCONG
NJ
078492219
Provider Mailing Phone/Fax
| Phone: | 9736348482 |
| Fax: |