Individual
PAMELA ANN PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LADAC
Contact information
Practice address
715 E IDAHO AVE BLDG SUITE2E, LAS CRUCES, NM 88001-4703
(575) 642-8046
(575) 526-9819
Mailing address
715 E IDAHO AVE BLDG SUITE2E, LAS CRUCES, NM 88001-4703
(575) 642-8046
(575) 526-9819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0081231
NM
1041C0700X
Clinical Social Worker
Primary
I-04696
NM
Other
Enumeration date
04/16/2007
Last updated
09/02/2010
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