Provider Demographics
NPI:1679827893
Name:PFEIFFER COUNSELING SERVICES
Entity Type:Organization
Organization Name:PFEIFFER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIANNA
Authorized Official - Middle Name:B
Authorized Official - Last Name:PFEIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:207-236-3777
Mailing Address - Street 1:69 ELM ST
Mailing Address - Street 2:STE 102
Mailing Address - City:CAMDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04843-1954
Mailing Address - Country:US
Mailing Address - Phone:207-236-3777
Mailing Address - Fax:
Practice Address - Street 1:69 ELM ST
Practice Address - Street 2:STE 102
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-1954
Practice Address - Country:US
Practice Address - Phone:207-236-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1171101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty