Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 0701006861 | VA |
N | 101YP1600X | Pastoral Counselor | 0701006861 | VA |
N | 101YP2500X | Professional Counselor | 0701006861 | VA |
NPI | 1285919118 |
---|---|
Provider Name | Ms. Pamela G Bakel |
First Address | Alexandria, VA 22314-2208 |
Second Address | Alexandria, VA 22314-3626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2011 |
Last Update Date | 09/04/2020 |