Individual
PAMELA ELAINE WARNER DE MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMHC, C.A.G.S.
Contact information
Practice address
4705 OLD POST RD UNIT A, CHARLESTOWN, RI 02813-1842
(401) 364-7705
(401) 364-9104
Mailing address
PO BOX 899, CHARLESTOWN, RI 02813-0899
(401) 364-7705
(401) 364-7705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00314
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PW85694
—
RI
Enumeration date
08/25/2006
Last updated
09/01/2011
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