Provider Demographics
NPI:1437967635
Name:CHESKY JOHNSON, PAMELA (MAED, NCC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:CHESKY JOHNSON
Suffix:
Gender:F
Credentials:MAED, NCC
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:FREYBLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:405 E FOREST ST
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-3707
Mailing Address - Country:US
Mailing Address - Phone:855-743-2789
Mailing Address - Fax:
Practice Address - Street 1:405 E FOREST ST
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-3707
Practice Address - Country:US
Practice Address - Phone:855-743-2789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional