MS. PAMELA ANN FORMICA LCMHC, LADC
Addiction Substance Use Disorder
Burlington, Vermont
Provider NPI: 1841226768
Provider Information:MS. PAMELA ANN FORMICA LCMHC, LADC
Gender: F
Sole Proprietor
Practice Location:
231 MAPLE ST SUITE 1 BURLINGTON, VT 05401 US
Tel: 802-863-4800 Fax: 802-862-9339
Business Mailing Address:
231 MAPLE ST SUITE 1 BURLINGTON, VT 05401 US
Tel: 802-863-4800 Fax: 802-862-9339
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | VT | 000348 |
Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | VT | 0680000601 |
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