Provider Demographics
NPI:1184821142
Name:RIFENBURGH, DOMENICA CATHERINE (LMFT, LPC, CAC-D)
Entity Type:Individual
Prefix:MS
First Name:DOMENICA
Middle Name:CATHERINE
Last Name:RIFENBURGH
Suffix:
Gender:F
Credentials:LMFT, LPC, CAC-D
Other - Prefix:MRS
Other - First Name:DOMENICA
Other - Middle Name:CATHERINE
Other - Last Name:LIGHTNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT, LPC, CAC-D
Mailing Address - Street 1:2612 BIRCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15071-1428
Mailing Address - Country:US
Mailing Address - Phone:724-771-3081
Mailing Address - Fax:
Practice Address - Street 1:339 6TH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2517
Practice Address - Country:US
Practice Address - Phone:412-454-2134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACAC-D 6824101YA0400X
PAICAADC1353101YA0400X
PAPC004622101YP2500X
PAMF000563106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist