Provider Demographics
NPI:1750868923
Name:DUFFER, CHRISTINE ALYSS (MS LPC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ALYSS
Last Name:DUFFER
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ALYSS
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:113 BAKER DR
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3701
Mailing Address - Country:US
Mailing Address - Phone:814-504-7144
Mailing Address - Fax:
Practice Address - Street 1:610 OLD CLAIRTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4353
Practice Address - Country:US
Practice Address - Phone:412-267-7211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010496101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional