Marshall, Pamela Ann

Marshall, Pamela Ann is an individual health care provider with primary practice located at 411 St Michaels Dr Ste 8A, Santa Fe NM 87505. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Marshall, Pamela Ann can be contacted via phone (505) 989-3333.

Contact Information

Primary practice address
411 St Michaels Dr Ste 8A Santa Fe NM 87505
Phone: (505) 989-3333
Fax: (505) 984-3003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPCC1844 New Mexico
Behavioral Health & Social Service Providers / Social Worker 104100000X LBSWB3277 New Mexico

Profile Details

NPI number 1730242256
LBN Legal business name Marshall, Pamela Ann
Credentials LBSW LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730242256 NPPES
New Mexico MEDICAID Z5604

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