Provider Demographics
NPI:1841259850
Name:CAMP, CECILE ANNETTE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CECILE
Middle Name:ANNETTE
Last Name:CAMP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 BEECHGROVE LN
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775-7337
Mailing Address - Country:US
Mailing Address - Phone:225-301-0774
Mailing Address - Fax:225-634-9948
Practice Address - Street 1:2214 QUAIL RUN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4128
Practice Address - Country:US
Practice Address - Phone:225-301-0774
Practice Address - Fax:225-634-9948
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8850101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health