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Individual

MS. PAMELA THEREASE IVERSON I

Active
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Individual

MS. PAMELA THEREASE IVERSON I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CACIII, EMDRII

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CR6271
CO
101YM0800X
Mental Health Counselor
Primary
LPC 4043
CO

Other

Enumeration date
12/04/2007
Last updated
12/29/2011
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