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NPI Code Detail

MEDICARE: CAMILLE NAAKTGEBOREN

MEDICARE: CAMILLE NAAKTGEBOREN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1629491733
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE NAAKTGEBOREN
Provider Business Mailing Address
First Line : 9183 W FLAMINGO RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6464
Country : US
Telephone Number : 702-622-1931
Fax Number :
Provider Business Practice Location Address
First Line : 9183 W FLAMINGO RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6464
Country : US
Telephone Number : 702-622-1931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2014
Last Update Date : 01/24/2014

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Directions to “ CAMILLE NAAKTGEBOREN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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