Mchan, Pamela Gail

Mchan, Pamela Gail is an sole proprietor health care provider with primary practice located at 8303 Office Park Dr Suite B, Douglasville GA 30134-6935. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mchan, Pamela Gail can be contacted via phone (678) 838-8333.

Contact Information

Primary practice address
8303 Office Park Dr Suite B Douglasville GA 30134-6935
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 005801 Georgia

Profile Details

NPI number 1093940801
LBN Legal business name Mchan, Pamela Gail
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2009
Last updated Jan 26th, 2015 - about 9 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 1093940801 NPPES
Georgia MEDICAID 125772845B

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