MEDICARE: HELEN IVON CAMBARA

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
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1114297983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN IVON CAMBARA

Provider Business Mailing Address
First Line	:	3625 14TH ST
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92501-3815
Country	:	US
Telephone Number	:	951-955-1540
Fax Number	:

Provider Business Practice Location Address
First Line	:	3625 14TH STREET
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92501-3712
Country	:	US
Telephone Number	:	951-955-1540
Fax Number	:

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

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	10/20/2016

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Directions to “ HELEN IVON CAMBARA ” Practice Location

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