Provider Demographics
NPI:1508198326
Name:KOLODNY-KRAFT, LEIGH (LPC, LCADC)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:KOLODNY-KRAFT
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 COLUMBIA TPKE STE 201A
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2192
Mailing Address - Country:US
Mailing Address - Phone:862-485-0328
Mailing Address - Fax:973-520-8540
Practice Address - Street 1:123 COLUMBIA TPKE STE 201A
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2192
Practice Address - Country:US
Practice Address - Phone:862-485-0328
Practice Address - Fax:973-520-8540
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00716900101YM0800X, 101YP2500X
NJ37LC00142600101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)