Provider Demographics
NPI:1811185457
Name:ALLISON, PAMELA M (EDDLPC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:M
Last Name:ALLISON
Suffix:
Gender:F
Credentials:EDDLPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9220 FAIRBANKS DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1405
Mailing Address - Country:US
Mailing Address - Phone:919-673-3708
Mailing Address - Fax:919-870-1638
Practice Address - Street 1:9220 FAIRBANKS DR
Practice Address - Street 2:SUITE 150
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1405
Practice Address - Country:US
Practice Address - Phone:919-673-3708
Practice Address - Fax:919-870-1638
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3870101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional