Healthcare Provider Details

I. General information

NPI: 1982163580
Provider Name (Legal Business Name): CHRISTOPHER HUFF LCSW, LCADC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2019
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 HIGHLAND AVE STE C
HADDON TOWNSHIP NJ
08108-2634
US

IV. Provider business mailing address

205 E LAUREL RD
STRATFORD NJ
08084-1301
US

V. Phone/Fax

Practice location:
  • Phone: 856-854-3155
  • Fax: 856-854-0992
Mailing address:
  • Phone: 844-542-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05825700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: