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NPI Code Detail

MEDICARE: PAMELA THOMAS LCDC

MEDICARE: PAMELA THOMAS LCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor10518TX

General Provider Information

NPI Number : 1366868655
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA THOMAS LCDC
Provider Business Mailing Address
First Line : 1213 DURHAM DR
Second Line :
City : HOUSTON
State : TX
Zip : 77007-5409
Country : US
Telephone Number : 713-636-9138
Fax Number :
Provider Business Practice Location Address
First Line : 1213 DURHAM DR
Second Line :
City : HOUSTON
State : TX
Zip : 77007-5409
Country : US
Telephone Number : 713-636-9138
Fax Number : 281-888-6510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2014
Last Update Date : 03/11/2014

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Directions to “ PAMELA THOMAS LCDC” Practice Location

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