Provider Demographics
NPI:1841744414
Name:CAMERON, JAMES (LPC-S, MAC, LCDC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:CAMERON
Suffix:
Gender:M
Credentials:LPC-S, MAC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5125 OREGON TRL
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6113
Mailing Address - Country:US
Mailing Address - Phone:806-433-5263
Mailing Address - Fax:
Practice Address - Street 1:5125 OREGON TRL
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-6113
Practice Address - Country:US
Practice Address - Phone:806-433-5263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10005101YA0400X
TX508282101YA0400X
TX63841101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)