Individual provider · Type 1 NPI

Pamela L. Beverage, ED. D., LPCC

Mental Health Counselor · Albuquerque, NM

NPI number 1669607115 Active

Practice location

3500 Comanche Rd NE, Suite 12
Albuquerque, NM 87107-4546

Mailing address

PO Box 2792
Corrales, NM 87048-2792

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0074101 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1669607115

Pamela L. Beverage, ED. D., LPCC's National Provider Identifier is 1669607115, issued on May 27, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on May 27, 2009.