Provider Demographics
NPI:1396980439
Name:VRANA, PAMELA DIANE (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:DIANE
Last Name:VRANA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9651 COUNTY ROAD 2470
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-6788
Mailing Address - Country:US
Mailing Address - Phone:214-546-4216
Mailing Address - Fax:469-698-2668
Practice Address - Street 1:108 E RUSK ST
Practice Address - Street 2:SUITE 105
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-3725
Practice Address - Country:US
Practice Address - Phone:214-546-4216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60247101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional