Individual
JACQUELINE CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5868 FARINGDON PL STE 16A, RALEIGH, NC 27609-3931
(919) 424-1973
Mailing address
5868 FARINGDON PL STE 16A, RALEIGH, NC 27609-3931
(919) 424-1973
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042737A
IN
103T00000X
Psychologist
Primary
5082
NC
103TC0700X
Clinical Psychologist
20042737A
IN
Other
Enumeration date
03/30/2012
Last updated
02/05/2021
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