# PAMELA ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780050781
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2015
- **Last updated:** 08/13/2015