| Doctor Name: | MS. PAMELA LYN VICTORY |
| NPI Number: | 1063684371 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., LADC |
| License Number: | 1231-L |
| Business Practice Address: | 33 W 4th St Suite #12 Winnemucca, NV - 894453181 |
| Business Phone Number: | 7756232880 |
| Business Fax Number: | 7756232880 |
| Mailing Address: | 3585 Artemisia Rd, WINNEMUCCA |
| State: | NV |
| Postal Code: | 894458686 |
| Phone Number: | 7753855102 |
| Fax Number: | 7756251473 |
| NPI Enumeration Date: | 03/26/2008 |
| NPI Last Update Date: | 03/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1231-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |