Provider Demographics
NPI:1982886404
Name:NELSON, PAMELA E (MS, CRC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:E
Last Name:NELSON
Suffix:
Gender:F
Credentials:MS, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5957 S. MOONEY BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277
Mailing Address - Country:US
Mailing Address - Phone:559-730-9921
Mailing Address - Fax:559-624-1042
Practice Address - Street 1:3500 W MINERAL KING AVE
Practice Address - Street 2:SUITE C
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5635
Practice Address - Country:US
Practice Address - Phone:559-730-9921
Practice Address - Fax:559-624-1042
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker