Provider Demographics
NPI:1649827205
Name:CAMINKER, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:CAMINKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1148 EXECUTIVE CIR STE 6
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4575
Mailing Address - Country:US
Mailing Address - Phone:919-697-8382
Mailing Address - Fax:
Practice Address - Street 1:1148 EXECUTIVE CIR STE 6
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4575
Practice Address - Country:US
Practice Address - Phone:919-697-8382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16295101YM0800X
103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling