Individual
CAMILLE BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
320 E MAIN ST, ASHLAND, OR 97520-6800
(541) 591-4351
Mailing address
158 MOUNTAIN VIEW DR, ASHLAND, OR 97520-1130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2407
OR
101YP2500X
Professional Counselor
C6779
OR
Other
Enumeration date
12/23/2010
Last updated
08/01/2022
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