Doctor Name: | JULIO CAMARGO |
NPI Number: | 1023146503 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2695 S 4th St Ste E El Centro, CA - 922436012 |
Business Phone Number: | 7603364070 |
Business Fax Number: | 7603368599 |
Mailing Address: | 951 H De La Vega Dr, CALEXICO |
State: | CA |
Postal Code: | 922316903 |
Phone Number: | 7607681260 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |