Provider Demographics
NPI:1093373896
Name:CAMARILLO, HERLINDA HINOJOSA (DCCC)
Entity Type:Individual
Prefix:DR
First Name:HERLINDA
Middle Name:HINOJOSA
Last Name:CAMARILLO
Suffix:
Gender:F
Credentials:DCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 W A AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-3646
Mailing Address - Country:US
Mailing Address - Phone:361-675-6153
Mailing Address - Fax:
Practice Address - Street 1:422 W A AVE
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-3646
Practice Address - Country:US
Practice Address - Phone:361-675-6153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21201101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral