Stephens, Pamela Rae

Stephens, Pamela Rae is an individual health care provider with primary practice located at 1 S Main St , Janesville WI 53545-3922. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stephens, Pamela Rae can be contacted via phone (608) 757-0404.

Contact Information

Primary practice address
1 S Main St Janesville WI 53545-3922
Phone: (608) 757-0404
Fax: (608) 757-2319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 420 Wisconsin

Profile Details

NPI number 1851369680
LBN Legal business name Stephens, Pamela Rae
Credentials LPC, LMFT, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1851369680 NPPES
Wisconsin MEDICAID 39273000

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