Provider Demographics
NPI:1689904831
Name:GAFFEN, LORIN (MA, LPC, LCADC)
Entity Type:Individual
Prefix:MRS
First Name:LORIN
Middle Name:
Last Name:GAFFEN
Suffix:
Gender:F
Credentials:MA, LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 COLUMBIA TPKE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2104
Mailing Address - Country:US
Mailing Address - Phone:973-580-9191
Mailing Address - Fax:973-920-9077
Practice Address - Street 1:135 COLUMBIA TPKE
Practice Address - Street 2:SUITE 201
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2104
Practice Address - Country:US
Practice Address - Phone:973-580-9191
Practice Address - Fax:973-920-9077
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00081500101YA0400X
NJ37PC00350100101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist