Provider Demographics
NPI:1598915647
Name:MAHOOD, CAMILLE-MARIE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:CAMILLE-MARIE
Middle Name:
Last Name:MAHOOD
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 CITRUS CIR
Mailing Address - Street 2:SUITE 165
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2666
Mailing Address - Country:US
Mailing Address - Phone:925-272-9939
Mailing Address - Fax:925-553-5090
Practice Address - Street 1:3075 CITRUS CIR
Practice Address - Street 2:SUITE 165
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2666
Practice Address - Country:US
Practice Address - Phone:925-553-3376
Practice Address - Fax:925-553-5090
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90869106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist