Provider Demographics
NPI:1619418183
Name:PFOHLMAN, COURTNEY (LADC-S, LPC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:PFOHLMAN
Suffix:
Gender:F
Credentials:LADC-S, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 KNIGHTS DR APT 309
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129-8519
Mailing Address - Country:US
Mailing Address - Phone:702-670-2341
Mailing Address - Fax:
Practice Address - Street 1:1400 KNIGHTS DR APT 309
Practice Address - Street 2:
Practice Address - City:SOUTH PARK
Practice Address - State:PA
Practice Address - Zip Code:15129-8519
Practice Address - Country:US
Practice Address - Phone:702-619-9039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-16
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00688-C101YA0400X
PAPC014632P101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)