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Pamela Davis, LPC
Professional Counselor in New Lenox, Illinois
NPI 1285087205

Pamela Davis is a Professional Counselor based in Chicago, IL and is specialized in Professional. Pamela Davis practices in New Lenox, IL and has the professional credentials of LPC. The NPI Number for Pamela Davis is 1285087205 and holds a License No. 178.008494 (Illinois).

The current practice location address for Pamela Davis is 2081 Calistoga Dr, New Lenox, IL and can be reached out via phone at 815-418-6070.

Location: 2081 Calistoga Dr, New Lenox, IL, 60607-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285087205
Provider Name
Pamela Davis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2081 Calistoga Dr, New Lenox, IL, 60607-2203
Phone Number
815-418-6070
Fax Number
Provider Enumeration Date
07/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178.008494 01 IL MEDICARE LICENSE
institution
Provider Business Practice Location Address Details
Address
2081 Calistoga Dr
City
New Lenox
State
Illinois
Zip
60451-4831
Phone Number
815-418-6070
Fax Number
person
Provider Business Mailing Address Details
Address
2081 Calistoga Dr
City
New Lenox
State
Illinois
Zip
60451-4831
Phone Number
815-418-6070
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178.008494 (Illinois)
Definition
Definition to come...
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