Doctor Name: | MS. PAMELA KAY GRIESS |
NPI Number: | 1508102492 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCS |
License Number: | 15269 |
Business Practice Address: | 519 S 5th St Montesano, WA - 985634334 |
Business Phone Number: | 7077216953 |
Business Fax Number: | |
Mailing Address: | Po Box 532, MONTESANO |
State: | WA |
Postal Code: | 985630532 |
Phone Number: | 7077216953 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2012 |
NPI Last Update Date: | 12/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 15269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |