Individual
RICARDO DAVID CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
819 WATER ST STE 300, KERRVILLE, TX 78028-5330
(830) 258-5430
(830) 792-5771
Mailing address
520 WITT, CENTER POINT, TX 78028
(830) 634-3370
(830) 634-3372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9687
LCDC LICENSE
TX
Enumeration date
02/07/2008
Last updated
02/07/2008
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