Provider Demographics
NPI:1316382237
Name:CAMERER, CAREL LEE (LMHC, LMP)
Entity Type:Individual
Prefix:
First Name:CAREL
Middle Name:LEE
Last Name:CAMERER
Suffix:
Gender:F
Credentials:LMHC, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14674
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98511-4674
Mailing Address - Country:US
Mailing Address - Phone:360-352-7066
Mailing Address - Fax:
Practice Address - Street 1:2222 STATE AVE NE
Practice Address - Street 2:SUITE A
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4764
Practice Address - Country:US
Practice Address - Phone:360-352-7066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00005453101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health