Individual
MS. PAMELA AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSRC
Contact information
Practice address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100
Mailing address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706646Y0NH91
ANTHEM
NH
01
—
889985A
MVP HEALTHCARE
NH
Enumeration date
01/05/2007
Last updated
04/14/2008
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