MRS. PAMELA GAIL CREED LICDC-CS
NPI 1104230911
Counselor - Addiction (Substance Use Disorder) in Lucasville, OH
Active since June 19, 2014
About Mrs. Pamela Gail Creed Licdc-cs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. PAMELA GAIL CREED LICDC-CS (NPI 1104230911) is an individual addiction (substance use disorder) provider in Lucasville, Ohio, licensed in Ohio (976041) and active in the NPI registry since June 2014.
NPPES Registry Identity
NPI1104230911
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. PAMELA GAIL CREEDCredential: LICDC-CS
Location Address1724 STATE ROUTE 728Lucasville, OH 45699-0001
Mailing Address1724 State Route 728Lucasville, OH 45699-0001 · (740) 259-5544
Phone(740) 259-5544
Sole ProprietorYes
Enumeration DateJune 19, 2014
✔ NPI 1104230911 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 976041
1724 STATE ROUTE 728, Lucasville, OH 45699
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104230911, enumerated as an "individual" on June 19, 2014.
The provider is located at 1724 STATE ROUTE 728 LUCASVILLE, OH 45699 and the phone number is (740) 259-5544.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
