Provider Demographics
NPI:1255303111
Name:COMER, PAMELA D (LPC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:D
Last Name:COMER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:REESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:273 NEWMAN AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801
Mailing Address - Country:US
Mailing Address - Phone:540-434-8450
Mailing Address - Fax:540-433-3805
Practice Address - Street 1:273 NEWMAN AVE
Practice Address - Street 2:FAMILY LIFE RESOURCE CENTER
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801
Practice Address - Country:US
Practice Address - Phone:540-434-8450
Practice Address - Fax:540-433-3805
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002625101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA080907MOtherSOUTHERN HEALTH
VA5415110Medicaid
VA462416OtherANTHEM