Provider Demographics
NPI:1093841793
Name:CAMOS, WALTER (LPC)
Entity Type:Individual
Prefix:MR
First Name:WALTER
Middle Name:
Last Name:CAMOS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 MONTEIGNE DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6306
Mailing Address - Country:US
Mailing Address - Phone:337-484-1333
Mailing Address - Fax:337-806-9241
Practice Address - Street 1:416 MONTEIGNE DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6306
Practice Address - Country:US
Practice Address - Phone:337-484-1333
Practice Address - Fax:337-806-9241
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC # 3535101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional