Individual
DEREK SCHOFFSTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
5943 LINGLESTOWN RD STE A, HARRISBURG, PA 17112
(717) 559-0405
Mailing address
PO BOX 126412, HARRISBURG, PA 17112-6412
(717) 559-0405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MF001220
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MF001220
LICENSED MARRIAGE AND FAMILY THERAPIST
PA
Enumeration date
01/12/2021
Last updated
01/19/2024
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