Individual provider · Type 1 NPI
Pamela Therease Iverson I, LPC, CACIII, EMDRII
Mental Health Counselor · Fort Collins, CO
NPI number
1750563441
Active
Practice location
344 E Foothills Pkwy, Suite 8E
Fort Collins, CO 80525-2662
Fax (970) 204-1583
Mailing address
749 S Lemay 3A Pmb 412
Fort Collins, CO 80524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CR6271 (CO) |
| Mental Health Counselor Primary | 101YM0800X | LPC 4043 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1750563441
Pamela Therease Iverson I, LPC, CACIII, EMDRII's National Provider Identifier is 1750563441, issued on Dec 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Collins, CO. The record was last updated on Dec 29, 2011.