Provider Demographics
NPI:1376698795
Name:MARCEL, PAMELA D (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:D
Last Name:MARCEL
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6907 ALMA ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-2660
Mailing Address - Country:US
Mailing Address - Phone:985-876-8878
Mailing Address - Fax:985-857-3714
Practice Address - Street 1:6907 ALMA ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-2660
Practice Address - Country:US
Practice Address - Phone:985-876-8878
Practice Address - Fax:985-857-3714
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA507106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1201OtherLPC LICENSE
507OtherLMFT