Individual
MR. JEREMY SCOT MCCAMMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW, LCAC
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 825-6224
(785) 825-1191
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
750
KS
104100000X
Social Worker
Primary
8208
KS
Other
Enumeration date
07/09/2012
Last updated
03/16/2022
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