Individual
CAMERON MICHAEL FOULKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
110 LORRIE CT, FAYETTEVILLE, GA 30214-3807
(443) 477-7213
Mailing address
27 ANDOVER CT, SHARPSBURG, GA 30277-6914
(770) 328-8399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC015630
GA
101YP2500X
Professional Counselor
LPC015630
GA
Other
Enumeration date
04/08/2025
Last updated
04/21/2026
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