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NPI Code Detail

MEDICARE: SUSAN PFAU LPC

MEDICARE: SUSAN PFAU LPC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor7140CO
2101YP2500XProfessional Counselor6451CO
3101YP2500XProfessional Counselor81074TX

General Provider Information

NPI Number : 1437411949
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN PFAU LPC
Provider Business Mailing Address
First Line : 4001 W 15TH ST STE 465
Second Line :
City : PLANO
State : TX
Zip : 75093-5845
Country : US
Telephone Number : 720-936-8189
Fax Number :
Provider Business Practice Location Address
First Line : 4001 W 15TH ST STE 465
Second Line :
City : PLANO
State : TX
Zip : 75093-5845
Country : US
Telephone Number : 720-936-8189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2012
Last Update Date : 09/03/2020

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Directions to “ SUSAN PFAU LPC” Practice Location

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