| NPI | 1528178621 |
|---|---|
| Former Legal Business Name | PRIVATE PRACTICE OF PAMELA JO KAYANAN |
| Entity Type | Organization |
| Authorized Contact | PAMELA JO KAYANAN President 757-643-8894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003183) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000195) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001073) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-06-18 |