Individual provider · Type 1 NPI

Pamella Norva Manners, CAC-AD

Addiction (Substance Use Disorder) Counselor · Essex, MD

NPI number 1104434927 Active

Practice location

8909 Kelso Dr
Essex, MD 21221-3113

Fax (410) 780-8686

Mailing address

8909 Kelso Drive, Essex, Md 21221
Essex, MD 21221

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC2110 (MD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104434927

Pamella Norva Manners, CAC-AD's National Provider Identifier is 1104434927, issued on Jul 17, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Essex, MD. The record was last updated on Jul 17, 2020.