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Pamela Jane Madsen, MS
Mental Health Counselor in Suwanee, Georgia
NPI 1760027932

Pamela Jane Madsen is a Mental Health Counselor based in Buford, GA and is specialized in Mental Health. Pamela Jane Madsen practices in Suwanee, GA and has the professional credentials of MS. The NPI Number for Pamela Jane Madsen is 1760027932 and holds a License No. (Georgia).

The current practice location address for Pamela Jane Madsen is 4411 Suwanee Dam Rd Ste 450, Suwanee, GA and can be reached out via phone at 770-609-3014.

Location: 4411 Suwanee Dam Rd Ste 450, Suwanee, GA, 30519-7872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760027932
Provider Name
Pamela Jane Madsen
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
4411 Suwanee Dam Rd Ste 450, Suwanee, GA, 30519-7872
Phone Number
770-609-3014
Fax Number
Provider Enumeration Date
11/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14562810 01 GA CAQH
institution
Provider Business Practice Location Address Details
Address
4411 Suwanee Dam Rd Ste 450
City
Suwanee
State
Georgia
Zip
30024-8706
Phone Number
770-609-3014
Fax Number
person
Provider Business Mailing Address Details
Address
4411 Suwanee Dam Rd Ste 450
City
Suwanee
State
Georgia
Zip
30024-8706
Phone Number
770-609-3014
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
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Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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