Provider Demographics
NPI:1093346702
Name:GINSBURG, CAMILLE J (RP)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:J
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 N GILPIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3629
Mailing Address - Country:US
Mailing Address - Phone:312-543-7159
Mailing Address - Fax:
Practice Address - Street 1:1839 YORK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1222
Practice Address - Country:US
Practice Address - Phone:303-309-9167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health