Individual
FETIMA T MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., B.S.C.
Contact information
Practice address
810 CLAIRTON BLVD STE 500-600, PITTSBURGH, PA 15236-5505
(412) 650-1100
(412) 650-1101
Mailing address
810 CLAIRTON BLVD STE 500-600, PITTSBURGH, PA 15236-5505
(412) 650-1100
(412) 650-1101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103675234
—
PA
01
—
13509228
CAQH
—
Enumeration date
07/16/2014
Last updated
03/09/2023
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