Provider Demographics
NPI:1295953297
Name:MCFARLAND, PAMELA JEAN (LCPC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JEAN
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:JEAN
Other - Last Name:JUDISCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:VALIER
Mailing Address - State:MT
Mailing Address - Zip Code:59486-0302
Mailing Address - Country:US
Mailing Address - Phone:406-279-3538
Mailing Address - Fax:
Practice Address - Street 1:424 MONTANA ST
Practice Address - Street 2:SUITE C
Practice Address - City:VALIER
Practice Address - State:MT
Practice Address - Zip Code:59486-0302
Practice Address - Country:US
Practice Address - Phone:406-279-3538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000254235Medicaid