Individual
MISS PAMELA JEAN DEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INTERN
Contact information
Practice address
34 MURRAY ST, WATERBURY, CT 06710-1920
(203) 756-8317
Mailing address
395 BRITTANY FARMS RD, APT 201, NEW BRITAIN, CT 06053-1100
(860) 483-0468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
390200000
CT
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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