Individual
ANGEL CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 221-8600
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW105056
CA
1041C0700X
Clinical Social Worker
ASW105056
CA
Other
Enumeration date
10/24/2022
Last updated
10/27/2022
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