Healthcare Provider Details

I. General information

NPI: 1457267403
Provider Name (Legal Business Name): DANIELLE TUFARO LPC
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RADAR WAY
TINTON FALLS NJ
07724-1290
US

IV. Provider business mailing address

89 E MCCLELLAN AVE
LIVINGSTON NJ
07039-1332
US

V. Phone/Fax

Practice location:
  • Phone: 732-719-6651
  • Fax:
Mailing address:
  • Phone: 973-902-4937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01300800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: