Individual
MR. THOMAS NATHANIEL PFISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Contact information
Practice address
1488 KENWOOD DR STE 205, MENASHA, WI 54952-1152
(920) 717-9341
Mailing address
1488 KENWOOD DR STE 205, MENASHA, WI 54952-1152
(920) 717-9341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16389-132
WI
101YM0800X
Mental Health Counselor
7511-125
WI
101YP2500X
Professional Counselor
Primary
7511-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077603
—
WI
01
—
1013375104
AGENCY NPI NUMBER
—
01
—
1092317
NCC CERTIFICATION
—
01
—
14264776
CAQH
—
Enumeration date
05/21/2018
Last updated
06/02/2026
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