Provider Demographics
NPI:1801080569
Name:CAMACHO, ROSEMARIE BELL (LMHC, MFT, LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARIE
Middle Name:BELL
Last Name:CAMACHO
Suffix:
Gender:F
Credentials:LMHC, MFT, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12621
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96931-2621
Mailing Address - Country:US
Mailing Address - Phone:671-727-4213
Mailing Address - Fax:
Practice Address - Street 1:590 S MARINE CORPS DRIVE
Practice Address - Street 2:1201 FLORA PAGO LANE
Practice Address - City:CHALAN PAGO
Practice Address - State:GU
Practice Address - Zip Code:96910
Practice Address - Country:US
Practice Address - Phone:671-649-2081
Practice Address - Fax:671-649-2083
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GU89106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist