Provider Demographics
NPI:1265683486
Name:CHAPLINE, CAMILLE (PSYD, LMFT)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:
Last Name:CHAPLINE
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:ANNETTE
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:2181 S EL CAMINO REAL
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6220
Mailing Address - Country:US
Mailing Address - Phone:760-994-7521
Mailing Address - Fax:760-231-6383
Practice Address - Street 1:2181 S EL CAMINO REAL
Practice Address - Street 2:SUITE 201
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6220
Practice Address - Country:US
Practice Address - Phone:760-994-7521
Practice Address - Fax:760-231-6383
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASSOCIATES DEGREE101YA0400X
CAMFC45114106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)