Provider Demographics
NPI:1285118224
Name:HUGHES, CONSTANCE KECK (LPC)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:KECK
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 ALLISON RD.
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9321
Mailing Address - Country:US
Mailing Address - Phone:412-638-7181
Mailing Address - Fax:
Practice Address - Street 1:630 SQUAW RUN RD E
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1924
Practice Address - Country:US
Practice Address - Phone:412-963-8938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-15
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC4140101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor