Provider Demographics
NPI:1265739551
Name:CAMERON, NOEL KAY (SSW)
Entity type:Individual
Prefix:MS
First Name:NOEL
Middle Name:KAY
Last Name:CAMERON
Suffix:
Gender:F
Credentials:SSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 S. STATE SUITE S1500
Mailing Address - Street 2:SALT LAKE COUNTY AGING AND ADULT SERVICES
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84114-4575
Mailing Address - Country:US
Mailing Address - Phone:385-468-3291
Mailing Address - Fax:385-468-3264
Practice Address - Street 1:2001 S. STATE SUITE S1500
Practice Address - Street 2:SALT LAKE COUNTY AGING AND ADULT SERVICES
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84114-4575
Practice Address - Country:US
Practice Address - Phone:385-468-3291
Practice Address - Fax:385-468-3264
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT52280393503101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health