Provider Demographics
NPI:1215443700
Name:JONES, PAMELA (CADC II, LPC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:JONES
Suffix:
Gender:
Credentials:CADC II, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 LIBERTY ST NE STE 206
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3530
Mailing Address - Country:US
Mailing Address - Phone:425-504-3281
Mailing Address - Fax:
Practice Address - Street 1:280 LIBERTY ST NE STE 206
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3530
Practice Address - Country:US
Practice Address - Phone:425-504-3281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-19
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
ORC8996101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)