Provider Demographics
NPI:1447901814
Name:CAFFREY, KRISTEL JULIANNA (LPC)
Entity type:Individual
Prefix:MRS
First Name:KRISTEL
Middle Name:JULIANNA
Last Name:CAFFREY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:KRISTEL
Other - Middle Name:
Other - Last Name:GRANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:FIVE GREENTREE CENTRE
Mailing Address - Street 2:525 ROUTE 73 NORTH, STE 104
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:973-713-1329
Mailing Address - Fax:
Practice Address - Street 1:FIVE GREENTREE CENTRE
Practice Address - Street 2:525 ROUTE 73 NORTH, STE 104
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:973-713-1329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00551900101YM0800X, 103TC2200X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent