MEDICARE: CRAIG DUFFY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	37PC00034400	NJ

General Provider Information

NPI Number	:	1558401612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG DUFFY LPC

Provider Business Mailing Address
First Line	:	95 MOUNT KEMBLE AVE
Second Line	:	ATTN C LAMPRON
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-5155
Country	:	US
Telephone Number	:	973-971-4714
Fax Number	:	973-290-7585

Provider Business Practice Location Address
First Line	:	100 MADISON AVENUE
Second Line	:	MMH CIS BOX 97
City	:	MORRISTOWN
State	:	NJ
Zip	:	07962-1956
Country	:	US
Telephone Number	:	973-971-5402
Fax Number	:	973-971-5693

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/08/2007

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