Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor |
NPI | 1003183245 |
---|---|
Provider Name | Glenford Kauffman |
First Address | Gap, PA 17527-9489 |
Second Address | Gap, PA 17527-9489 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2011 |
Last Update Date | 16/11/2011 |