Provider Demographics
NPI:1962597682
Name:KAPLAN, GARY N (MA, LPC, LCADC)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:N
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MA, LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1238
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-1238
Mailing Address - Country:US
Mailing Address - Phone:732-266-9505
Mailing Address - Fax:732-875-1175
Practice Address - Street 1:238 RARITAN AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2404
Practice Address - Country:US
Practice Address - Phone:732-266-9505
Practice Address - Fax:732-266-9505
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00033900101YA0400X
NJ37PC00151000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health