MEDICARE: SARAH CAMERON

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	0704014632	VA

General Provider Information

NPI Number	:	1376298133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CAMERON

Provider Business Mailing Address
First Line	:	555 BELAIRE AVE STE 210
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4783
Country	:	US
Telephone Number	:	757-209-2571
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 BELAIRE AVE STE 210
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4783
Country	:	US
Telephone Number	:	757-209-2571
Fax Number	:

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

Provider Enumeration Date	:	02/19/2022
Last Update Date	:	11/04/2024

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Directions to “ SARAH CAMERON ” Practice Location

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