Individual
MS. JANIS C CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., L.A.D.A.C.,
Contact information
Practice address
7345 HIGHWAY 62 W, GASSVILLE, AR 72635-8636
(870) 435-5511
(870) 435-5513
Mailing address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 435-5511
(870) 435-5513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0092L
AR
101YP2500X
Professional Counselor
Primary
P0512069
AR
Other
Enumeration date
11/09/2006
Last updated
01/20/2010
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