NPI Code Details Logo

NPI 1023795630

NPI 1023795630 : ADAM JOSHUA RIFKIN MA, LPC : CHERRY HILL, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023795630
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ADAM JOSHUA RIFKIN MA, LPC
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/05/2023
-----------------------------------------------------
    Last Update Date     |    07/05/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7 BROOKMEAD DRIVE 
-----------------------------------------------------
    City                 |    CHERRY HILL
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08034
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    856-202-6837
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2230 ROUTE 70 W STE 2 #1400
-----------------------------------------------------
    City                 |    CHERRY HILL
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08002-3338
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    856-202-6837
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    37PC00732400
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    PC010889
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.