MEDICARE: ESTHER PFEIFFER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH61353601	WA

General Provider Information

NPI Number	:	1023535804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER PFEIFFER

Provider Business Mailing Address
First Line	:	1905 SE 192ND AVE STE 203
Second Line	:
City	:	CAMAS
State	:	WA
Zip	:	98607-7415
Country	:	US
Telephone Number	:	360-635-8873
Fax Number	:

Provider Business Practice Location Address
First Line	:	1905 SE 192ND AVE STE 203
Second Line	:
City	:	CAMAS
State	:	WA
Zip	:	98607-7415
Country	:	US
Telephone Number	:	360-635-8873
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2017
Last Update Date	:	10/07/2024

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Directions to “ ESTHER PFEIFFER ” Practice Location

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