| Doctor Name: | EARL M. CAMMACK |
| NPI Number: | 1437398427 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | 269749-3501 |
| Business Practice Address: | 4484 So. 1900 West Suite 6 Roy, UT - 84067 |
| Business Phone Number: | 8017321222 |
| Business Fax Number: | 8016897199 |
| Mailing Address: | 4484 S. 1900 West, Suite 6 ROY |
| State: | UT |
| Postal Code: | 84067 |
| Phone Number: | 8017321222 |
| Fax Number: | 8017321222 |
| NPI Enumeration Date: | 02/13/2009 |
| NPI Last Update Date: | 02/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 269749-3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| 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 |