Individual
PAMELA SUSAN FRANCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N MAIN ST STE 202, CHEBOYGAN, MI 49721-1162
(231) 597-9235
Mailing address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 347-9313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401011860
LIMITED LICENSE PROFESSIONAL COUNSELOR
MI
Enumeration date
02/22/2019
Last updated
02/22/2019
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