Individual provider · Type 1 NPI

Pamela Nicole Fairbrother, CSC-AD

Addiction (Substance Use Disorder) Counselor · Pasadena, MD

NPI number 1265050819 Active

Practice location

2528 Mountain Rd
Pasadena, MD 21122-7203

Fax (410) 360-1675

Other practice locations

  • 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 · (410) 636-5600
  • 4231 Postal Ct Ste 201, Pasadena, MD 21122-4474 · (443) 548-3733

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSC2624 (MD)

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

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About NPI 1265050819

Pamela Nicole Fairbrother, CSC-AD's National Provider Identifier is 1265050819, issued on Jul 9, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, MD. The record was last updated on Mar 22, 2023.