Camp, Jill J
Camp, Jill J is an individual health care provider with primary practice located at 3900 Juan Tabo Blvd Ne , Albuquerque NM 87111-3984. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Camp, Jill J can be contacted via phone (505) 275-6406.Contact Information
Primary practice address
3900 Juan Tabo Blvd Ne
Albuquerque NM 87111-3984
Phone: (505) 275-6406
Fax: (505) 298-3939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0613 | New Mexico |
Profile Details
| NPI number | 1245212687 |
|---|---|
| LBN Legal business name | Camp, Jill J |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245212687 | NPPES |
| New Mexico | MEDICAID | 00007157 |
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