IndividualActive
Pamella Manners, CAC-AD
NPI 1104434927 · Addiction (Substance Use Disorder) Counselor · Essex, MD
Provider details
- NPI number
- 1104434927
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CAC-AD
- Sex
- Female
- Sole proprietor
- No
- License
- AC2110 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8909 Kelso Dr
Essex, MD 21221-3113
Phone: (410) 486-2500
Fax: (410) 780-8686
Street-level locationGet directions
Mailing address
8909 Kelso Drive, Essex, MD 21221
Essex, MD 21221
Registry dates
- Enumerated
- 2020-07-17
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.