MEDICARE: MS. NOEL KAY CAMERON SSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	52280393503	UT

General Provider Information

NPI Number	:	1265739551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NOEL KAY CAMERON SSW

Provider Business Mailing Address
First Line	:	2001 S. STATE SUITE S1500
Second Line	:	SALT LAKE COUNTY AGING AND ADULT SERVICES
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84114-4575
Country	:	US
Telephone Number	:	385-468-3291
Fax Number	:	385-468-3264

Provider Business Practice Location Address
First Line	:	2001 S. STATE SUITE S1500
Second Line	:	SALT LAKE COUNTY AGING AND ADULT SERVICES
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84114-4575
Country	:	US
Telephone Number	:	385-468-3291
Fax Number	:	385-468-3264

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2011
Last Update Date	:	08/15/2014

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