Individual provider · Type 1 NPI

Pamela Quezaire, MSE CSAC ICS

Mental Health Counselor · Kiel, WI

NPI number 1053468207 Active

Practice location

Pathways To A Better Life, Llc, 13111 Lax Chapel Road
Kiel, WI 53042

Call (920) 894-1374 Map

Fax (920) 894-1373

Mailing address

530 State Road 67, PO Box 347
Kiel, WI 53042

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	1504.11846 (WI)
Mental Health Counselor Primary	101YM0800X	1504.11846 (WI)

Mental Health Counselor: Definition to come...

About NPI 1053468207

Pamela Quezaire, MSE CSAC ICS's National Provider Identifier is 1053468207, issued on Jan 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kiel, WI. The record was last updated on Aug 8, 2024.