Provider Demographics
NPI:1700374253
Name:STONE, PAMELA C (LMHC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:C
Last Name:STONE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:C
Other - Last Name:PACHECO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:6817 EASTERN AVE SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-4935
Mailing Address - Country:US
Mailing Address - Phone:505-401-5875
Mailing Address - Fax:
Practice Address - Street 1:6817 EASTERN AVE SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-4935
Practice Address - Country:US
Practice Address - Phone:505-401-5875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCMH0194521373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist