Individual
PAMELA LOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC MLADC
Contact information
Practice address
45 WASHINGTON ST, SUITE 12, CONWAY, NH 03818-6031
(603) 447-7046
(603) 447-7046
Mailing address
45 WASHINGTON ST, SUITE 12, CONWAY, NH 03818-6031
(603) 447-7046
(603) 447-7046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
569
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4069
ME
101YM0800X
Mental Health Counselor
Primary
525
NH
101YM0800X
Mental Health Counselor
CC3254
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055204
CIGNA
—
01
—
24Y013824NH01
ANTHEM BC BS
NH
05
—
30426846
—
NH
01
—
513326567
UNITED BEHAVIORAL HEALTH
—
Enumeration date
03/31/2007
Last updated
08/14/2012
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