Provider Demographics
NPI:1912937640
Name:COLLINS AURAND, PAMELA LYNN (LCSW, LCDC, LMFT)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:LYNN
Last Name:COLLINS AURAND
Suffix:
Gender:F
Credentials:LCSW, LCDC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:BONHAM
Mailing Address - State:TX
Mailing Address - Zip Code:75418-2913
Mailing Address - Country:US
Mailing Address - Phone:903-583-1892
Mailing Address - Fax:
Practice Address - Street 1:1201 E 9TH ST
Practice Address - Street 2:
Practice Address - City:BONHAM
Practice Address - State:TX
Practice Address - Zip Code:75418-4059
Practice Address - Country:US
Practice Address - Phone:903-583-6233
Practice Address - Fax:903-583-6687
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX142631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical