Provider Demographics
NPI:1760895338
Name:CAMEL, AUDREY (DO)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:CAMEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HARPER DR
Mailing Address - Street 2:COMMUNITY COUNSELING CENTER
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057
Mailing Address - Country:US
Mailing Address - Phone:856-380-1070
Mailing Address - Fax:
Practice Address - Street 1:300 HARPER DR
Practice Address - Street 2:COMMUNITY COUNSELING CENTER
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057
Practice Address - Country:US
Practice Address - Phone:856-380-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist