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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. PAMELA ANN FORMICA I, LCMHC, LADC

Active Sole Proprietor

Mental Health Counselor · BURLINGTON, VT

Registration Details

NPI Number
1841226768
Provider Type
Individual
Gender
Female
NPI Issued
Jun 23, 2006 (19.830835177045 yrs)
Last Updated
Jan 6, 2011
Licenses
000348 (VT)
0680000601 (VT)
Sole Proprietor
Yes

Practice Information

Address
231 MAPLE ST
SUITE 1
BURLINGTON, VT, 054014562
Browse VT providers · Browse ZIP 05401
Phone
8028634800
Fax
8028629339
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in BURLINGTON, VT

Name Credential NPI
MS. BARBARA JEAN BENTON MA, LCMHC 1225025588
MR. THOMAS A LUCAS LCMHC 1770558587
MS. MARGARET G. BELIVEAU MSW, LICSW 1326003724
MS. AMY DIANE COOPER M.A. 1962453449
MS. AMY FAITH LUDWIN M.A., L.C.M.H.C. 1255385084
MS. LAUREN GAIL BERRIZBEITIA L.C.M.H.C. 1942254032
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.