Formica, Pamela Ann

Formica, Pamela Ann is an sole proprietor health care provider with primary practice located at 231 Maple St Suite 1, Burlington VT 05401-4562. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Formica, Pamela Ann can be contacted via phone (802) 863-4800.

Contact Information

Primary practice address
231 Maple St Suite 1 Burlington VT 05401-4562
Phone: (802) 863-4800
Fax: (802) 862-9339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000348 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0680000601 Vermont

Profile Details

NPI number 1841226768
LBN Legal business name Formica, Pamela Ann
Credentials LCMHC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Jan 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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