Individual
MRS. PAMELA ANN DAISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
12649 DUPONT BLVD, ELLENDALE, DE 19941-3307
(302) 422-1530
(302) 422-2320
Mailing address
12649 DUPONT BLVD, ELLENDALE, DE 19941-3307
(302) 422-1530
(302) 422-2320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000250
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050373LPC
BCBS
DE
05
—
10000022578
—
DE
05
—
100022580
—
DE
Enumeration date
12/01/2006
Last updated
07/09/2007
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