Provider Demographics
NPI:1730380734
Name:HUGHES, PAMELA M (MFT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:M
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1527
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93942-1527
Mailing Address - Country:US
Mailing Address - Phone:831-204-8118
Mailing Address - Fax:
Practice Address - Street 1:660 CAMINO AGUAJITO STE 204
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3654
Practice Address - Country:US
Practice Address - Phone:831-204-8118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51647106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA12345OtherPROVIDENCE SERVICE CORPORATION