MEDICARE: PAMELA NADEAU LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LMHC4563	MA

General Provider Information

NPI Number	:	1295806354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA NADEAU LMHC

Provider Business Mailing Address
First Line	:	15 FORSTER RD
Second Line	:
City	:	ROCHESTER
State	:	MA
Zip	:	02770-1818
Country	:	US
Telephone Number	:	774-271-0335
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 FORSTER RD
Second Line	:
City	:	ROCHESTER
State	:	MA
Zip	:	02770-1818
Country	:	US
Telephone Number	:	508-763-2444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2006
Last Update Date	:	05/28/2026

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