| Doctor Name: | MR. ERIC JOEL NEIFERT |
| NPI Number: | 1003111097 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC, NCC |
| License Number: | PA005767 |
| Business Practice Address: | 1840 W End Ave 3 Pottsville, PA - 179012030 |
| Business Phone Number: | 5705734136 |
| Business Fax Number: | 5706229862 |
| Mailing Address: | 1840 W End Ave, 3 POTTSVILLE |
| State: | PA |
| Postal Code: | 179012030 |
| Phone Number: | 5705734136 |
| Fax Number: | 5706229862 |
| NPI Enumeration Date: | 01/21/2011 |
| NPI Last Update Date: | 07/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PA005767 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |