Individual
DR. CAMILLE ASHLEY DELEONARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3206 LONGMIRE DR STE A15, COLLEGE STATION, TX 77845-5858
(979) 703-0616
Mailing address
3206 LONGMIRE DR STE A15, COLLEGE STATION, TX 77845-5858
(979) 703-0616
(979) 764-2828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
39106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDI-CAL
CA
Enumeration date
05/02/2014
Last updated
07/17/2025
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