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NPI Code Detail

MEDICARE: SOFIE CAMP MS, LPCC

MEDICARE: SOFIE CAMP MS, LPCC
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 CounselorLPCC.0022289CO

General Provider Information

NPI Number : 1770421919
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIE CAMP MS, LPCC
Provider Business Mailing Address
First Line : 111 E POLK ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6267
Country : US
Telephone Number : 719-799-8758
Fax Number :
Provider Business Practice Location Address
First Line : 111 E POLK ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6267
Country : US
Telephone Number : 719-799-8758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2026
Last Update Date : 03/30/2026

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