MEDICARE: MRS. PAMELA CUTTING

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

General Provider Information

NPI Number	:	1437684545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAMELA CUTTING

Provider Business Mailing Address
First Line	:	2540 W SHAW LN STE 107
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-2700
Country	:	US
Telephone Number	:	559-256-7631
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 W SHAW LN STE 107
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-2700
Country	:	US
Telephone Number	:	559-256-7631
Fax Number	:

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

Provider Enumeration Date	:	04/26/2017
Last Update Date	:	02/11/2022

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