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Individual
MS. PAMELA J. STANLEY
Active
Individual
MS. PAMELA J. STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, ACT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0096031
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11584170
CAQH
—
01
—
202000137
PRESBYTERIAN
—
01
—
7838830
AETNA
—
01
—
NM00JN70
BCBS
—
Enumeration date
07/28/2006
Last updated
09/18/2013
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