Provider Demographics
NPI:1841357472
Name:WRENN, PAMELA B (MA, LMHC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:B
Last Name:WRENN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:B
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:95 HAGUE RD
Mailing Address - Street 2:
Mailing Address - City:DUMMERSTON
Mailing Address - State:VT
Mailing Address - Zip Code:05301-4467
Mailing Address - Country:US
Mailing Address - Phone:203-260-5347
Mailing Address - Fax:
Practice Address - Street 1:95 HAGUE RD
Practice Address - Street 2:
Practice Address - City:DUMMERSTON
Practice Address - State:VT
Practice Address - Zip Code:05301-4467
Practice Address - Country:US
Practice Address - Phone:203-260-5347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC5894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health