| Doctor Name: | MRS. PAMELA GAIL CREED |
| NPI Number: | 1104230911 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICDC-CS |
| License Number: | 976041 |
| Business Practice Address: | 1724 State Route 728 Lucasville, OH - 456990001 |
| Business Phone Number: | 7402595544 |
| Business Fax Number: | |
| Mailing Address: | 1724 State Route 728, LUCASVILLE |
| State: | OH |
| Postal Code: | 456990001 |
| Phone Number: | 7402595544 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2014 |
| NPI Last Update Date: | 06/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 976041 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |