Provider Demographics
NPI:1790427508
Name:CLAMON COUNSELING SERVICES
Entity Type:Organization
Organization Name:CLAMON COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAMON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-960-7597
Mailing Address - Street 1:3002 EDINGTON DR
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-3454
Mailing Address - Country:US
Mailing Address - Phone:719-960-7597
Mailing Address - Fax:
Practice Address - Street 1:3002 EDINGTON DR
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-3454
Practice Address - Country:US
Practice Address - Phone:719-960-7597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health