Individual
CAMERON LEE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPCC
Contact information
Practice address
9156 VINCENT AVE S, BLOOMINGTON, MN 55431
(608) 338-5707
Mailing address
9156 VINCENT AVE S, BLOOMINGTON, MN 55431
(608) 338-5707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02017
MN
Other
Enumeration date
01/02/2019
Last updated
06/18/2020
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