| Doctor Name: | MS. JANIS C CAMP |
| NPI Number: | 1033289665 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C., L.A.D.A.C., |
| License Number: | 0092L |
| Business Practice Address: | 7345 Highway 62 W Gassville, AR - 726358636 |
| Business Phone Number: | 8704355511 |
| Business Fax Number: | 8704355513 |
| Mailing Address: | 624 Hospital Dr, MOUNTAIN HOME |
| State: | AR |
| Postal Code: | 726532955 |
| Phone Number: | 8704355511 |
| Fax Number: | 8704355513 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 01/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0092L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |