PAMELA QUEZAIRE MSE CSAC ICS NPI 1053468207

NPI Information

  • NPI: 1053468207
  • Provider Name: PAMELA QUEZAIRE, MSE CSAC ICS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: PATHWAYS TO A BETTER LIFE, LLC
    13111 LAX CHAPEL ROAD
    KIEL, WI
    ZIP 53042
  • Phone: (920) 894-1374

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NPI Details

Pamela Quezaire, MSE CSAC ICS is a mental health counselor in Kiel, WI. Pamela Quezaire, MSE CSAC ICS NPI is 1053468207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

PATHWAYS TO A BETTER LIFE, LLC
13111 LAX CHAPEL ROAD
KIEL, WI
ZIP 53042
Phone: (920) 894-1374
Fax: (920) 894-1373

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)1504.11846WISCONSINNo
2101YM0800XCounselorMental Health1504.11846WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139363000MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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