Provider Demographics
NPI:1609943257
Name:BURNS-CLAIR, PAMELA (MFT)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:BURNS-CLAIR
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:PAM
Other - Middle Name:
Other - Last Name:BURNS-CLAIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:1420 3RD ST
Mailing Address - Street 2:#14
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2864
Mailing Address - Country:US
Mailing Address - Phone:707-258-9361
Mailing Address - Fax:707-935-8899
Practice Address - Street 1:1420 3RD ST
Practice Address - Street 2:#14
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2864
Practice Address - Country:US
Practice Address - Phone:707-258-9361
Practice Address - Fax:707-935-8899
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13794106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist