MEDICARE: MISS JUDITH KATHERINE PFEIFER M.S. , 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
1	101YP2500X	Professional Counselor	10351	TX

General Provider Information

NPI Number	:	1679611396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JUDITH KATHERINE PFEIFER M.S. , LPC

Provider Business Mailing Address
First Line	:	96 CROSSROADS BLVD
Second Line	:	SUITE 200
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-6523
Country	:	US
Telephone Number	:	210-736-0106
Fax Number	:

Provider Business Practice Location Address
First Line	:	96 CROSSROADS BLVD
Second Line	:	SUITE 200
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-6523
Country	:	US
Telephone Number	:	210-736-0106
Fax Number	:

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

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	07/23/2012

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