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PAMELA JEAN ANDERSON LADC
NPI 1417526567
Counselor - Addiction (Substance Use Disorder) in Otsego, MN

Active since June 23, 2021
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330(763) 746-9492(763) 746-3685 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pamela Jean Anderson Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA JEAN ANDERSON LADC (NPI 1417526567) is an individual addiction (substance use disorder) provider in Otsego, Minnesota, licensed in Minnesota (303440) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1417526567
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePAMELA JEAN ANDERSONCredential: LADC
Location Address9245 QUANTRELLE AVE NEOtsego, MN 55330-0168
Mailing Address9245 Quantrelle Ave NeOtsego, MN 55330-0168 · (763) 746-9492 · Fax (763) 746-3685
Phone(763) 746-9492
Fax(763) 746-3685
Sole ProprietorYes
Enumeration DateJune 23, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1417526567 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 MN · 303440
9245 QUANTRELLE AVE NE, Otsego, MN 55330
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIKKI K MASON LMFT, LADC
Marriage & Family Therapist
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 308-8619
HEATHER JO VOSS MHP, ADC-T
Counselor (Mental Health)
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 308-8619
AMBER ROSE SELLIN MA
Counselor (Mental Health)
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
KEVIN ALAN AUGUSTIN
Counselor (Addiction (Substance Use Disorder))
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
DIMITRI M TSAMPIS
Counselor (Addiction (Substance Use Disorder))
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
ELIZABETH PRIGGE LADC
Counselor (Addiction (Substance Use Disorder))
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
JANE POLLOCK JOHNSON
Marriage & Family Therapist
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
LISA ANNE ESKOLA MA, LMFT
Marriage & Family Therapist
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Anderson's NPI number?

The NPI number for Pamela Anderson is 1417526567. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Where is Pamela Anderson located?

Pamela Anderson practices at 9245 Quantrelle Ave NE, Otsego, MN 55330. The listed phone number is (763) 746-9492.

What is Pamela Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Pamela Anderson was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.