Individual
MS. PAMELA KATHLEEN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
6507 CHARTER WAY, LITHONIA, GA 30058-3968
(678) 851-2366
Mailing address
PO BOX 1172, LITHONIA, GA 30058-1043
(678) 851-2366
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC014036
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1310
GA
Other
Enumeration date
09/08/2021
Last updated
04/29/2024
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