Individual
MS. PAMELA TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIAC
Contact information
Practice address
10005 E OSBORN RD, SCOTTSDALE, AZ 85256-4019
(480) 362-7664
Mailing address
10005 E OSBORN RD, SCOTTSDALE, AZ 85256-4019
(480) 362-7664
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
155338
AZ
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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