Individual
ATHENA MCCAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161564
OH
1041C0700X
Clinical Social Worker
Primary
I.2102916
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2374229
—
OH
Enumeration date
05/19/2015
Last updated
10/18/2021
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