Individual ProviderPamela K FulbrookCounselorBehavioral Health & Social Service ProvidersPractice Address5420 W Sahara Ave Ste 201, S, Las Vegas, NV 89146-0389(702) 686-2069PECOS EnrollmentBased on the most recent information from CMS, provider Pamela K Fulbrook does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1447408604Provider TypeIndividualFull NameFulbrook, Pamela KCredentialM.A. LMFTGenderFemaleSole ProprietorYesEnumeration Date8/29/2008Last Updated4/24/2014Contact InformationPractice LocationPractice Address5420 W Sahara Ave Ste 201, S, Las Vegas, NV 89146-0389Phone(702) 686-2069Fax(702) 686-2069Mailing LocationMailing Address5420 W Sahara Ave Ste 201, S, Las Vegas, NV 89146-0389Phone(702) 686-2069Fax(702) 686-2069Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer