Individual
AUDREY VAN PAMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 SENECA ST, PONTIAC, MI 48342-2349
(248) 836-0191
(248) 836-0199
Mailing address
31 CLAIR ST, MOUNT CLEMENS, MI 48043-1705
(586) 649-8672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6803085349
MI
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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