Individual
JENNY M. CAMILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC-24946
Contact information
Practice address
2231 E MILLBROOK RD STE 101, RALEIGH, NC 27604-1746
(919) 307-8165
(919) 307-8167
Mailing address
5601 SORRELL CROSSING DR, RALEIGH, NC 27617-8301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC-24946
NC
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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