Individual
MS. CAMILLA J PEARSON-CAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1910 N LAKES PLACE, MERIDIAN, ID 83646-5939
(208) 342-2273
(208) 893-5484
Mailing address
1910 N LAKES PLACE, MERIDIAN, ID 83646-5939
(208) 342-2273
(208) 893-5484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-4254
ID
101YM0800X
Mental Health Counselor
LPC-3619
ID
Other
Enumeration date
01/04/2007
Last updated
04/08/2010
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