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Individual

BETTYJO CAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, MH #16156

Contact information

Practice address
11432 N WILLIAMS ST UNIT 659, DUNNELLON, FL 34430-7731
(918) 521-1997
Mailing address
11432 N WILLIAMS ST UNIT 659, DUNNELLON, FL 34430-7731
(918) 521-1997
(407) 770-5503

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH-16073
FL
101YP2500X
Professional Counselor
Primary
16156
FL

Other

Enumeration date
12/15/2011
Last updated
07/07/2020
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