Healthcare Provider Details

I. General information

NPI: 1750883732
Provider Name (Legal Business Name): DAINA RAIFFE MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2018
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 S FINLEY AVE FL 2
BASKING RIDGE NJ
07920-1420
US

IV. Provider business mailing address

11 S FINLEY AVE FL 2
BASKING RIDGE NJ
07920-1420
US

V. Phone/Fax

Practice location:
  • Phone: 908-443-1658
  • Fax:
Mailing address:
  • Phone: 908-443-1658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00875800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: