Individual
PAMELA QUEZAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE CSAC ICS
Contact information
Practice address
PATHWAYS TO A BETTER LIFE, LLC, 13111 LAX CHAPEL ROAD, KIEL, WI 53042
(920) 894-1374
(920) 894-1373
Mailing address
530 STATE ROAD 67, PO BOX 347, KIEL, WI 53042
(920) 286-4462
(920) 894-1373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1504.11846
WI
101YM0800X
Mental Health Counselor
Primary
1504.11846
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39363000
—
WI
Enumeration date
01/03/2007
Last updated
08/08/2024
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