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Individual
PAMELA MACMILLAN
Active
Individual
PAMELA MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002924
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084940
SENTARA BEHAVIORAL
VA
01
—
191723
COMPSYCH
VA
01
—
2030934
CIGNA
VA
01
—
266920
VALUE OPTIONS
VA
01
—
284469
ANTHEM
VA
01
—
375677
MAMSI
VA
01
—
7933082
AETNA
VA
Enumeration date
06/10/2006
Last updated
07/11/2007
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