Organization
CAMAS PROFESSIONAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LEE EVERSON LCSW (CLINICAL/OWNER)
(208) 983-0235
Entity
Organization
Contact information
Practice address
304 N STATE ST, GRANGEVILLE, ID 83530-1769
(208) 983-0235
(208) 983-0245
Mailing address
304 N STATE ST, PO BOX 627, GRANGEVILLE, ID 83530-1769
(208) 983-0235
(208) 983-0245
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807068700
—
ID
05
—
807068800
—
ID
05
—
807098900
—
ID
05
—
807099000
—
ID
05
—
807353600
—
ID
Enumeration date
05/17/2007
Last updated
09/09/2015
Update your record
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