Individual
PAMELA MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 OAK CIRCLE DR, GLENDALE, CA 91208-1106
(812) 259-0390
Mailing address
1220 OAK CIRCLE DR, GLENDALE, CA 91208-1106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026A68326
ANTHEM BLUE CROSS
—
Enumeration date
06/19/2018
Last updated
06/19/2018
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