Pamela Vernon Stewart
Counselor, Professional in Gurnee, IL. Individual provider (NPI-1).
NPI number1164044798
StatusActive
Last updated in NPPESMay 18, 2020
Details
- NPI
- 1164044798
- Entity type
- Individual (NPI-1)
- Name
- Pamela Vernon Stewart
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2020
- Certification date
- May 18, 2020
- Last updated
- May 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180.009861 | IL | Yes |
Other names
- Pamela Vernon Bolte (Former Name)
Practice location
6791 E Mount Vernon CtGurnee, IL 60031-4034
Phone 847-271-8462
Mailing address
6791 E Mount Vernon CtGurnee, IL 60031-4034
Phone 847-271-8462
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