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General NPI Number Information
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NPI Number | 1023730827
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Entity Type | Individual
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Provider Name | ANDREW MARC CAMERON LPCC, LADC
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Gender | Male
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 5346 LYNDALE AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55419-1230
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Country | US
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Telephone | 651-365-8212
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Fax |
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Provider Business Mailing Address
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Address Line | 4620 77TH ST W APT 349
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City | EDINA
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State | MN
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Zip | 55435-2275
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Country | US
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Telephone | 512-825-4569
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 306485
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5443
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License Number State | MN
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