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Individual
PAMELA SUE MARSTON
Active
Individual
PAMELA SUE MARSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN CADC DUI QHEC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
164W00000X
Licensed Practical Nurse
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23985
CADC
IL
01
—
QHEIC
0137
IL
Enumeration date
04/13/2007
Last updated
09/11/2025
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