Matthews, Camille
Matthews, Camille is an individual health care provider with primary practice located at 904 E 20Th St Ste B, Farmington NM 87401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Matthews, Camille can be contacted via phone (505) 325-6532.Contact Information
Primary practice address
904 E 20Th St Ste B
Farmington NM 87401
Phone: (505) 325-6532
Fax: (505) 325-0827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-4114 | New Mexico |
Profile Details
| NPI number | 1932275559 |
|---|---|
| LBN Legal business name | Matthews, Camille |
| Credentials | LISW BCD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| 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 | 1932275559 | NPPES |
| New Mexico | MEDICAID | 00067835 |
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