Provider Demographics
NPI:1639215940
Name:CAMP, DONALD L (LPC, LMFT)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:L
Last Name:CAMP
Suffix:
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 O SHANNON LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-3508
Mailing Address - Country:US
Mailing Address - Phone:972-699-0774
Mailing Address - Fax:972-699-8917
Practice Address - Street 1:1221 ABRAMS RD STE 227
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5580
Practice Address - Country:US
Practice Address - Phone:972-699-0774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1823101YP2500X
TX2795106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist