Individual
MS. PAMELLA NORVA MANNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-AD
Contact information
Practice address
8909 KELSO DR, ESSEX, MD 21221-3113
(410) 486-2500
(410) 780-8686
Mailing address
8909 KELSO DRIVE, ESSEX, MD 21221, ESSEX, MD 21221
(410) 486-2500
(410) 780-8686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2110
MD
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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