MEDICARE: CAMERON'S CLINICAL SUPERVISION AND CONSULTATION

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1568394815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMERON'S CLINICAL SUPERVISION AND CONSULTATION

Provider Business Mailing Address
First Line	:	7799 JOAN DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3682
Country	:	US
Telephone Number	:	513-204-5746
Fax Number	:

Provider Business Practice Location Address
First Line	:	7799 JOAN DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3682
Country	:	US
Telephone Number	:	513-204-5746
Fax Number	:

Authorized Official
Title or Position	:	MARRIAGE AND FAMILY THERAPIST
Name	:	MEGAN CAMERON
Credential	:	IMFT-S
Telephone Number	:	802-272-6575

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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