Provider Demographics
NPI:1700538196
Name:CAMERON, JANET JOYCE (CERTIFIED COUNSELOR)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:JOYCE
Last Name:CAMERON
Suffix:
Gender:F
Credentials:CERTIFIED COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12838 DEVONSHIRE LAKES CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-7967
Mailing Address - Country:US
Mailing Address - Phone:203-671-4110
Mailing Address - Fax:
Practice Address - Street 1:9400 GLADIOLUS DR STE 340
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-9622
Practice Address - Country:US
Practice Address - Phone:239-935-5599
Practice Address - Fax:239-313-5614
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor