Individual
SANTANA CAMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2805 5TH AVE, LAKE CHARLES, LA 70601-7913
(337) 429-5672
Mailing address
2805 5TH AVE, LAKE CHARLES, LA 70601-7913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
01/22/2019
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