Provider Demographics
NPI:1255622569
Name:CUBAS, PAMELA DAWN (MA, MFT; LPC-US)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:DAWN
Last Name:CUBAS
Suffix:
Gender:F
Credentials:MA, MFT; LPC-US
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5355 CHIDLAW AVE
Mailing Address - Street 2:
Mailing Address - City:TINKER AFB
Mailing Address - State:OK
Mailing Address - Zip Code:73145-4523
Mailing Address - Country:US
Mailing Address - Phone:816-803-9189
Mailing Address - Fax:
Practice Address - Street 1:6803 S WESTERN AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-1808
Practice Address - Country:US
Practice Address - Phone:405-634-4434
Practice Address - Fax:405-664-8443
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional