| Doctor Name: | PAMELA RENEE LONDON |
| NPI Number: | 1578700696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED, LPC |
| License Number: | 3508 |
| Business Practice Address: | 785 W. Washington Krebs, OK - 74554 |
| Business Phone Number: | 9184293156 |
| Business Fax Number: | 9184232741 |
| Mailing Address: | Po Box 473, KREBS |
| State: | OK |
| Postal Code: | 745540473 |
| Phone Number: | 9184293156 |
| Fax Number: | 9184232741 |
| NPI Enumeration Date: | 01/12/2009 |
| NPI Last Update Date: | 01/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3508 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |