Individual
CAMILLE MONAE CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14624B LAKESHORE DR, CLEARLAKE, CA 95422-8490
(707) 701-1557
(707) 701-1557
Mailing address
14624B LAKESHORE DR, CLEARLAKE, CA 95422-8490
(707) 701-1557
(707) 605-0083
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
172V00000X
Community Health Worker
—
CA
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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