Provider Demographics
NPI:1780446625
Name:BRIGHAM, PAMELA A (LPC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:A
Last Name:BRIGHAM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 FOXGLOVE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3233
Mailing Address - Country:US
Mailing Address - Phone:281-798-7028
Mailing Address - Fax:
Practice Address - Street 1:519 FOXGLOVE DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3233
Practice Address - Country:US
Practice Address - Phone:281-798-7028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88581101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional