| Doctor Name: | JAMES DOUGLAS LOFFREDO |
| NPI Number: | 1932228582 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, CAAC, NCC |
| License Number: | 00254 |
| Business Practice Address: | 502 Pemberton Rd Grosse Pointe Park, MI - 482301712 |
| Business Phone Number: | 3135156200 |
| Business Fax Number: | 3138241344 |
| Mailing Address: | 502 Pemberton Rd, GROSSE POINTE PARK |
| State: | MI |
| Postal Code: | 482301712 |
| Phone Number: | 3133321090 |
| Fax Number: | 3138241344 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 08/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 00254 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |