MEDICARE: DL PFISTER & ASSOCIATES COUNSLING, PLLC

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	101YP2500X	Professional Counselor	63942	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	10925	TX
3	101YP2500X	Professional Counselor	66310	TX
4	103TC0700X	Clinical Psychologist	34133	TX
5	101YP2500X	Professional Counselor	19426	TX
6	1041C0700X	Clinical Social Worker	50064	TX
7	101YP2500X	Professional Counselor	62147	TX
8	103TC1900X	Counseling Psychologist	36214	TX
9	103TP0016X	Prescribing (Medical) Psychologist	P2767	TX
10	106H00000X	Marriage & Family Therapist	201426	TX

General Provider Information

NPI Number	:	1033427661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DL PFISTER & ASSOCIATES COUNSLING, PLLC

Provider Business Mailing Address
First Line	:	13100 WORTHAM CENTER DR
Second Line	:	SUITE 240
City	:	HOUSTON
State	:	TX
Zip	:	77065-5625
Country	:	US
Telephone Number	:	832-688-9747
Fax Number	:

Provider Business Practice Location Address
First Line	:	13100 WORTHAM CENTER DR
Second Line	:	SUITE 240
City	:	HOUSTON
State	:	TX
Zip	:	77065-5625
Country	:	US
Telephone Number	:	832-688-9747
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DENISE PFISTER
Credential	:	MS, LMFT
Telephone Number	:	832-688-9747

Provider Enumeration Date	:	09/16/2010
Last Update Date	:	08/30/2012

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