Healthcare Provider Details

I. General information

NPI: 1306740287
Provider Name (Legal Business Name): ISABEL CAMERON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12150 E BRIARWOOD AVE STE 240
CENTENNIAL CO
80112-6756
US

IV. Provider business mailing address

12150 E BRIARWOOD AVE STE 240
CENTENNIAL CO
80112-6756
US

V. Phone/Fax

Practice location:
  • Phone: 720-248-7798
  • Fax: 833-542-9020
Mailing address:
  • Phone: 720-248-7798
  • Fax: 833-542-9020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: