Provider Demographics
NPI:1770647281
Name:STONECYPHER, PAMELA RENEE (LPC, LMHC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:RENEE
Last Name:STONECYPHER
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1232
Mailing Address - Street 2:
Mailing Address - City:UMATILLA
Mailing Address - State:OR
Mailing Address - Zip Code:97882-1232
Mailing Address - Country:US
Mailing Address - Phone:541-922-3834
Mailing Address - Fax:541-922-3834
Practice Address - Street 1:28535 SOUTHSHORE DR
Practice Address - Street 2:
Practice Address - City:UMATILLA
Practice Address - State:OR
Practice Address - Zip Code:97882-6124
Practice Address - Country:US
Practice Address - Phone:541-922-3834
Practice Address - Fax:541-922-3834
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1070101YM0800X
WALH00006029101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health