Provider Demographics
NPI:1770345928
Name:CAMPOS BEUTER, CELIA CRISTINA (MA, CAGS, LMHC)
Entity type:Individual
Prefix:MS
First Name:CELIA
Middle Name:CRISTINA
Last Name:CAMPOS BEUTER
Suffix:
Gender:F
Credentials:MA, CAGS, LMHC
Other - Prefix:
Other - First Name:CELIA
Other - Middle Name:CAMPOS
Other - Last Name:ROBICHEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:CALLE OBISPO JAIME PEREZ 14,
Mailing Address - Street 2:ESC. C, PTA 10
Mailing Address - City:VALENCIA
Mailing Address - State:VALENCIA
Mailing Address - Zip Code:46006
Mailing Address - Country:ES
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CALLE OBISPO JAIME PEREZ 14
Practice Address - Street 2:ESC. C, PTA 10
Practice Address - City:VALENCIA
Practice Address - State:VALENCIA
Practice Address - Zip Code:46006
Practice Address - Country:ES
Practice Address - Phone:508-718-9007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10000824101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health