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Individual
PAMELA ANDERSON
Active
Individual
PAMELA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
NULL
101YS0200X
School Counselor
—
NULL
103T00000X
Psychologist
—
NULL
1041C0700X
Clinical Social Worker
—
NULL
106H00000X
Marriage & Family Therapist
—
NULL
171M00000X
Case Manager/Care Coordinator
—
NULL
225800000X
Recreation Therapist
—
NULL
376K00000X
Nurse's Aide
Primary
—
NULL
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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