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Individual
RAFAEL CAMARILLO
Active
Individual
RAFAEL CAMARILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25-07-20595
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-3018
OR
101YM0800X
Mental Health Counselor
24-QMHA-R-4985
OR
101YM0800X
Mental Health Counselor
25-QMHA-II-000502
OR
175T00000X
Peer Specialist
22-CRM-1246
OR
Other
Enumeration date
02/23/2024
Last updated
09/24/2026
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