Petersen, Camille

Petersen, Camille is an individual health care provider with primary practice located at 7459 Burlington Pike , Florence KY 41042-1553. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Petersen, Camille can be contacted via phone (859) 525-6808.

Contact Information

Primary practice address
7459 Burlington Pike Florence KY 41042-1553
Phone: (859) 525-6808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 07-011 Kentucky

Profile Details

NPI number 1295937118
LBN Legal business name Petersen, Camille
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295937118 NPPES
Kentucky Other 184607 MEDICARE GROUP NUMBER

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