Doctor Name: | PAMELA PARVIN |
NPI Number: | 1699836890 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | CC1703 |
Business Practice Address: | 61 B Cottage Street Bar Harbor, ME - 04609 |
Business Phone Number: | 2072885344 |
Business Fax Number: | 2072885886 |
Mailing Address: | 226 Norway Drive, BAR HARBOR |
State: | ME |
Postal Code: | 04609 |
Phone Number: | 2072885344 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC1703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |