Provider Demographics
NPI:1275749236
Name:CROSS, PAMELA B (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:B
Last Name:CROSS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:OTADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:255 N SIERRA ST UNIT 1115
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-1368
Mailing Address - Country:US
Mailing Address - Phone:415-424-4266
Mailing Address - Fax:415-520-6633
Practice Address - Street 1:255 N SIERRA ST UNIT 1115
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-1368
Practice Address - Country:US
Practice Address - Phone:415-424-4266
Practice Address - Fax:415-520-6633
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01150106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist