Martin, Pamela Deloach

Martin, Pamela Deloach is an sole proprietor health care provider with primary practice located at 1269 Winterview Dr , Jackson MS 39211-3136. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Martin, Pamela Deloach can be contacted via phone (601) 937-2618.

Contact Information

Primary practice address
1269 Winterview Dr Jackson MS 39211-3136
Phone: (601) 937-2618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AD07-044M Mississippi
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0818 Mississippi
Behavioral Health & Social Service Providers / Professional 101YP2500X 1944 Mississippi

Profile Details

NPI number 1235537242
LBN Legal business name Martin, Pamela Deloach
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2014
Last updated Dec 8th, 2014 - about 10 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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