Provider Demographics
NPI:1316449853
Name:RICH, PAMELA M (CAS)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:M
Last Name:RICH
Suffix:
Gender:F
Credentials:CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 E 7TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4878
Mailing Address - Country:US
Mailing Address - Phone:970-663-2900
Mailing Address - Fax:
Practice Address - Street 1:350 E 7TH ST STE 13
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-4878
Practice Address - Country:US
Practice Address - Phone:970-663-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.6959101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)