Provider Demographics
NPI:1841050598
Name:TRIFFANOFF, COLLEEN MARIE (LPC, NCC)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:MARIE
Last Name:TRIFFANOFF
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:M
Other - Last Name:TRIFFANOFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED, NCC , LPC
Mailing Address - Street 1:545 GALA DR
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3286
Mailing Address - Country:US
Mailing Address - Phone:724-757-8690
Mailing Address - Fax:
Practice Address - Street 1:3212 MAIN ST
Practice Address - Street 2:
Practice Address - City:MUNHALL
Practice Address - State:PA
Practice Address - Zip Code:15120-3230
Practice Address - Country:US
Practice Address - Phone:412-368-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional