Individual
CAMRON L WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS.ED., LPCC-S, LMHC
Contact information
Practice address
1563 E DOROTHY LN, SUITE 300B, KETTERING, OH 45429-3897
(937) 938-6067
(937) 938-6067
Mailing address
1563 E DOROTHY LN, SUITE 300B, KETTERING, OH 45429-3897
(937) 938-6067
(937) 938-6067
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39004229A
IN
101YP2500X
Professional Counselor
Primary
E.0008476
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178113
—
OH
Enumeration date
06/05/2009
Last updated
07/01/2022
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