Provider Demographics
NPI:1679632707
Name:PFEIFFER, JAMES C (LPC, CEAP, SAP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:C
Last Name:PFEIFFER
Suffix:
Gender:M
Credentials:LPC, CEAP, SAP
Other - Prefix:MR
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:PFEIFFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, CEAP, SAP
Mailing Address - Street 1:PO BOX 56152
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72215-6152
Mailing Address - Country:US
Mailing Address - Phone:501-831-0731
Mailing Address - Fax:501-219-9086
Practice Address - Street 1:7509 CANTRELL RD
Practice Address - Street 2:SUITE 213
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-2529
Practice Address - Country:US
Practice Address - Phone:501-663-3260
Practice Address - Fax:501-663-6080
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP9511038101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5Y946OtherABCBS PROVIDER NUMBER