Individual
MRS. PAMELA KAYE MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
66354 440TH ST, FAIRFAX, MN 55332-3017
(507) 426-6117
Mailing address
66354 440TH ST, FAIRFAX, MN 55332-3017
(507) 426-6117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00211
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
LPC
MN
Enumeration date
08/25/2006
Last updated
07/08/2007
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