Provider Demographics
NPI:1902515570
Name:PRICE, SARINA RAE-KAUFFMAN (LPC)
Entity Type:Individual
Prefix:
First Name:SARINA
Middle Name:RAE-KAUFFMAN
Last Name:PRICE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SARINA
Other - Middle Name:RAE
Other - Last Name:KAUFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38 BERWYN PL
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3605
Mailing Address - Country:US
Mailing Address - Phone:914-420-1635
Mailing Address - Fax:
Practice Address - Street 1:1 PROSPECT ST STE 5
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-4440
Practice Address - Country:US
Practice Address - Phone:469-361-3239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00850700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional