Individual
PAMELA KAY COUNCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCIII, QMHP, CSWA
Contact information
Practice address
58147 COLUMBIA RIVER HWY, SUITE C, SAINT HELENS, OR 97051-6226
(503) 396-5322
Mailing address
58147 COLUMBIA RIVER HWY, SUITE C, SAINT HELENS, OR 97051-6226
(503) 396-5322
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-06-18
OR
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/22/2010
Last updated
05/21/2021
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