Healthcare Provider Details

I. General information

NPI: 1821509399
Provider Name (Legal Business Name): ANGELA PFAFF LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2017
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 CROWE AVE
MARS PA
16046-3303
US

IV. Provider business mailing address

23 CASTLE VIEW DR
MC KEES ROCKS PA
15136-1891
US

V. Phone/Fax

Practice location:
  • Phone: 724-252-4637
  • Fax:
Mailing address:
  • Phone: 814-558-9819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC009714
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: