Individual
JIMMY DAWSON MCCAMEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW, LPC
Contact information
Practice address
419 RIDLEY AVE, LAGRANGE, GA 30240-2231
(706) 523-1114
(844) 273-4209
Mailing address
419 RIDLEY AVE, LAGRANGE, GA 30240-2231
(706) 523-1114
(844) 273-4209
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC003852
GA
1041C0700X
Clinical Social Worker
Primary
CSW003153
GA
1041C0700X
Clinical Social Worker
LPC003852
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514073675A
—
GA
Enumeration date
06/13/2008
Last updated
02/05/2020
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