# KCAM CONSULTING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KCAM Consulting
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225684780
- **Authorized official:** GERACI MACK CHAPLAIN, LBSW, MHA (CEO/ OWNER)
- **Authorized official phone:** (903) 918-8152

## Contact information

- **Practice address:** 408 W UPSHUR AVE, GLADEWATER, TX 75647-2124
- **Practice address phone:** (903) 918-8152
- **Mailing address:** 408 W UPSHUR AVE, GLADEWATER, TX 75647-2124
- **Mailing address phone:** (903) 918-8152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/12/2019
- **Last updated:** 08/12/2019