Individual
MS. YOLANDA ALICIA CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
204 ANGELINA BLVD, CHAPARRAL, NM 88081-7558
(575) 824-8100
(575) 824-8101
Mailing address
5208 CORNELL AVE, EL PASO, TX 79924-5334
(915) 356-0741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
64023
TX
101YP2500X
Professional Counselor
Primary
CCMH0219491
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108490
—
TX
01
—
315 LLC
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
02/25/2010
Last updated
09/01/2021
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