Individual
MS. CAMIELLE FAMOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4144 LINDELL BLVD STE 140, SAINT LOUIS, MO 63108-2931
(314) 896-4245
Mailing address
4144 LINDELL BLVD STE 140, SAINT LOUIS, MO 63108-2931
(314) 896-4245
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012015292
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790125219
—
MO
Enumeration date
06/28/2013
Last updated
09/26/2018
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