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Organization
PAMELA GATES MA LPC, LCDC, INC
Active
Organization
PAMELA GATES MA LPC, LCDC, INC
Active
Other names
Pamela Gates MA. LPC, LCDC, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA H GATES I LPC-S,LCDC, ADCIII (PRESIDENT)
(512) 328-2563
Entity
Organization
Contact information
Practice address
2499 S CAPITAL OF TEXAS HWY, BLDG. B, SUITE 201, AUSTIN, TX 78746-7762
(512) 328-2563
Mailing address
616 PETERSON LN, LAKEWAY, TX 78734-4108
(512) 328-2563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019EX
BLUE CROSS BLE SHILED
TX
05
—
2163917
—
TX
Enumeration date
05/11/2007
Last updated
11/13/2012
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