Provider Demographics
NPI:1932232733
Name:DENMARK, STEFFI KAY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:STEFFI
Middle Name:KAY
Last Name:DENMARK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 GINA CT
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3581
Mailing Address - Country:US
Mailing Address - Phone:973-952-0052
Mailing Address - Fax:973-328-2893
Practice Address - Street 1:3125 ROUTE 10 EAST
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834
Practice Address - Country:US
Practice Address - Phone:973-668-9642
Practice Address - Fax:973-328-2893
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00076700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional