Madsen, Pamela Jane

Madsen, Pamela Jane is an individual health care provider with primary practice located at 4411 Suwanee Dam Rd Ste 450 , Suwanee GA 30024-8706. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Madsen, Pamela Jane can be contacted via phone (770) 609-3014.

Contact Information

Primary practice address
4411 Suwanee Dam Rd Ste 450 Suwanee GA 30024-8706
Phone: (770) 609-3014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1760027932
LBN Legal business name Madsen, Pamela Jane
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2019
Last updated Nov 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760027932 NPPES
Georgia Other 14562810 CAQH

Popular Providers