Individual
PAMELA WEISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, CACII
Contact information
Practice address
125 N PARKSIDE DR STE 202, COLORADO SPRINGS, CO 80909-6097
(719) 428-5432
Mailing address
2457 LARK DR, COLORADO SPRINGS, CO 80909-1863
(573) 999-9427
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008662
CO
101YM0800X
Mental Health Counselor
LPCC.0017072
CO
Other
Enumeration date
07/13/2020
Last updated
07/23/2020
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