Doctor Name: | MS. CYNTHIA JEAN CAMBURN |
NPI Number: | 1215036801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | M5961 |
Business Practice Address: | 421 Delmas Ave Pascagoula, MS - 395674136 |
Business Phone Number: | 2286969224 |
Business Fax Number: | 2286969228 |
Mailing Address: | 421 Delmas Ave, PASCAGOULA |
State: | MS |
Postal Code: | 395674136 |
Phone Number: | 2286969224 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | M5961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |