Provider Demographics
NPI:1487640116
Name:FRANK, PAMELA A (LPC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:A
Last Name:FRANK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 RICHMOND HWY
Mailing Address - Street 2:SUITE 415
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2300
Mailing Address - Country:US
Mailing Address - Phone:703-704-6330
Mailing Address - Fax:703-704-6687
Practice Address - Street 1:8350 RICHMOND HWY
Practice Address - Street 2:SUITE 415
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2300
Practice Address - Country:US
Practice Address - Phone:703-704-6330
Practice Address - Fax:703-704-6687
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003282101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor