Individual
CAMILIA KAYE SHOULDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(707) 648-8121
Mailing address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(707) 648-8121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMF88320
CA
Other
Enumeration date
11/05/2015
Last updated
12/19/2017
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