Individual
MS. PAMELA WILSON VANDENAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
145 S 1300 W, PLEASANT GROVE, UT 84062-3580
(801) 785-9400
(801) 785-9499
Mailing address
145 S 1300 W, PLEASANT GROVE, UT 84062-3580
(801) 785-9400
(801) 785-9499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
973368026004
UT
Other
Enumeration date
05/24/2007
Last updated
05/12/2015
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