Individual ProviderPamela J. KowalCounselorBehavioral Health & Social Service ProvidersPractice Address116 E. Chestnut St., Stillwater, MN 55082(651) 434-0466PECOS EnrollmentBased on the most recent information from CMS, provider Pamela J. Kowal 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 yesterday at 12:57 PM.Profile DetailsProvider ID1831113372Provider TypeIndividualFull NameKowal, Pamela J.TitleMs.CredentialM.S. LMFTGenderFemaleSole ProprietorYesEnumeration Date7/27/2006Last Updated4/17/2009Contact InformationPractice LocationPractice Address116 E. Chestnut St., Stillwater, MN 55082Phone(651) 434-0466FaxUnlisted FaxMailing LocationMailing AddressPO Box 574, Stillwater, MN 55082Phone(651) 434-0466FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense616-124WisconsinCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1066Minnesota