Provider Demographics
NPI:1962586172
Name:PFEFFER COUNSELING ASSOCIATES, P.A.
Entity type:Organization
Organization Name:PFEFFER COUNSELING ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PFEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-890-1660
Mailing Address - Street 1:1 NAMI LN
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1251
Mailing Address - Country:US
Mailing Address - Phone:609-890-1660
Mailing Address - Fax:732-946-2435
Practice Address - Street 1:1 NAMI LN
Practice Address - Street 2:SUITE 10
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1251
Practice Address - Country:US
Practice Address - Phone:609-890-1660
Practice Address - Fax:732-946-2435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045338001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty