Provider Demographics
NPI:1801224654
Name:PFLUEGER, ANDREW (LMFT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:PFLUEGER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 MOUNT HERMON RD
Mailing Address - Street 2:STE 202
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-4034
Mailing Address - Country:US
Mailing Address - Phone:831-234-1814
Mailing Address - Fax:
Practice Address - Street 1:230 MOUNT HERMON RD
Practice Address - Street 2:STE 202
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-4034
Practice Address - Country:US
Practice Address - Phone:831-234-1814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-14
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61711106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist