Provider Demographics
NPI:1578524682
Name:GUILLORY, CAMAY M (CADC)
Entity Type:Individual
Prefix:
First Name:CAMAY
Middle Name:M
Last Name:GUILLORY
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 SE KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605-1456
Mailing Address - Country:US
Mailing Address - Phone:785-505-7594
Mailing Address - Fax:
Practice Address - Street 1:2714 SE KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66605-1456
Practice Address - Country:US
Practice Address - Phone:785-505-7594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)