Provider Demographics
NPI:1316383060
Name:PIFFATH, JAMES PETER (LCPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PETER
Last Name:PIFFATH
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6335 ROAN STALLION LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5600
Mailing Address - Country:US
Mailing Address - Phone:443-520-1005
Mailing Address - Fax:
Practice Address - Street 1:6335 ROAN STALLION LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5600
Practice Address - Country:US
Practice Address - Phone:443-520-1005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5059101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional