person
Ms. Pamela Ann Formica I, LCMHC,LADC
Mental Health Counselor in Burlington, Vermont
NPI 1841226768

Pamela Ann Formica I is a Mental Health Counselor based in Burlington, VT and is specialized in Mental Health. Pamela Ann Formica I practices in Burlington, VT and has the professional credentials of LCMHC,LADC. The NPI Number for Pamela Ann Formica I is 1841226768 and holds a License No. 000348 (Vermont).

The current practice location address for Pamela Ann Formica I is 231 Maple St, Burlington, VT and can be reached out via phone at 802-863-4800 and via fax at 802-862-9339.

Location: 231 Maple St, Burlington, VT, 05401-4562
person
Provider Profile Details
NPI Number
1841226768
Provider Name
Pamela Ann Formica I
Credential
LCMHC,LADC
Provider Entity Type
Individual
Gender
Female
Address
231 Maple St, Burlington, VT, 05401-4562
Phone Number
802-863-4800
Fax Number
802-862-9339
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
231 Maple St
City
State
Zip
05401-4562
Phone Number
802-863-4800
Fax Number
802-862-9339
person
Provider Business Mailing Address Details
Address
231 Maple St
City
State
Zip
05401-4562
Phone Number
802-863-4800
Fax Number
802-862-9339
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0680000601 (Vermont)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
000348 (Vermont)
Definition
Definition to come...
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