Most Relevant Information
Provider Data
| NPI Number: | 1003359027 |
| Provider Name: | PAMELA ELAINE CRISMON LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 2008011076 |
Most Important Dates
| Enumeration Date: | 11/22/2016 |
| Last Updated: | 11/22/2016 |
Provider Practice Location
600 MEDICAL DR
SUITE 109
WENTZVILLE
MO
633853426
Practice Location Phone/Fax
| Phone: | 6363271183 |
| Fax: |
Provider Mailing Location
600 MEDICAL DR
SUITE 109
WENTZVILLE
MO
633853426
Provider Mailing Phone/Fax
| Phone: | 6363271183 |
| Fax: |