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Individual
JORGE CAMARENA
Active
Individual
JORGE CAMARENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617631
BLUE CROSS BLUE SHIELD
IL
01
—
202591
MEDICARE
IL
05
—
362246705
—
IL
Enumeration date
04/19/2007
Last updated
09/17/2008
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