Organization
PAMELA GATES MA LPC, LCDC, INC
Active
Other names
Pamela Gates MA. LPC, LCDC, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA H GATES I LPC-S,LCDC, ADCIII (PRESIDENT)
(512) 328-2563
Entity
Organization
Contact information
Practice address
2499 S CAPITAL OF TEXAS HWY, BLDG. B, SUITE 201, AUSTIN, TX 78746-7762
(512) 328-2563
Mailing address
616 PETERSON LN, LAKEWAY, TX 78734-4108
(512) 328-2563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019EX
BLUE CROSS BLE SHILED
TX
05
—
2163917
—
TX
Enumeration date
05/11/2007
Last updated
11/13/2012
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