Individual
CONNIE J CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W 7TH AVE STE 222, STILLWATER, OK 74074-4050
(918) 225-0540
(918) 225-0536
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 246-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
2020028322
MO
101YP2500X
Professional Counselor
Primary
5496
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746170 G
—
OK
Enumeration date
12/06/2011
Last updated
06/24/2024
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