MEDICARE: MISS PAMELA DENISE APRIL

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	101YP2500X	Professional Counselor		AZ

General Provider Information

NPI Number	:	1780838938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS PAMELA DENISE APRIL

Provider Business Mailing Address
First Line	:	6538 W ANDREA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85083-6518
Country	:	US
Telephone Number	:	602-750-8005
Fax Number	:

Provider Business Practice Location Address
First Line	:	6538 W ANDREA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85083-6518
Country	:	US
Telephone Number	:	602-750-8005
Fax Number	:

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

Provider Enumeration Date	:	11/13/2008
Last Update Date	:	11/13/2008

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Directions to “ MISS PAMELA DENISE APRIL ” Practice Location

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