Doctor Name: | JILL J CAMP |
NPI Number: | 1245212687 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 0613 |
Business Practice Address: | 3900 Juan Tabo Blvd Ne Albuquerque, NM - 871113984 |
Business Phone Number: | 5052756406 |
Business Fax Number: | 5052983939 |
Mailing Address: | 3900 Juan Tabo Blvd Ne, ALBUQUERQUE |
State: | NM |
Postal Code: | 871113984 |
Phone Number: | 5052756406 |
Fax Number: | 5052983939 |
NPI Enumeration Date: | 11/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0613 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |