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NPI Code Detail

MEDICARE: CAMERON OWSLEY

MEDICARE: CAMERON OWSLEY
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
1101Y00000XCounselorPLC10071LA

General Provider Information

NPI Number : 1407619356
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON OWSLEY
Provider Business Mailing Address
First Line : 416 SIROD ST
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-5850
Country : US
Telephone Number : 318-663-8257
Fax Number :
Provider Business Practice Location Address
First Line : 622 RIVERSIDE DR
Second Line :
City : MONROE
State : LA
Zip : 71201-6211
Country : US
Telephone Number : 318-398-0945
Fax Number : 318-398-4314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2024
Last Update Date : 04/29/2026

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Directions to “ CAMERON OWSLEY ” Practice Location

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