Camacho, Lourdes

Camacho, Lourdes is an individual health care provider with primary practice located at 10921 Xanadu St , Commerce City CO 80022-6254. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Camacho, Lourdes can be contacted via phone (970) 703-4678.

Contact Information

Primary practice address
10921 Xanadu St Commerce City CO 80022-6254
Phone: (970) 703-4678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0013836 Colorado

Profile Details

NPI number 1386040160
LBN Legal business name Camacho, Lourdes
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2014
Last updated Jun 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386040160 NPPES
Colorado MEDICAID 9000152600

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