Provider Demographics
NPI:1811319247
Name:BARNES, PAMELA J (LICMHC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:J
Last Name:BARNES
Suffix:
Gender:F
Credentials:LICMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 CLOVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:UNDERHILL
Mailing Address - State:VT
Mailing Address - Zip Code:05489-9445
Mailing Address - Country:US
Mailing Address - Phone:802-899-4228
Mailing Address - Fax:
Practice Address - Street 1:8 ESSEX WAY STE 103D
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3301
Practice Address - Country:US
Practice Address - Phone:802-495-6936
Practice Address - Fax:802-662-0340
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0079917101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health