| NPI | 1962740027 | 
|---|---|
| Professional Name | RENE ENRIQUE CAMACHO-CORDOBA | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL MH16257) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 16892) | 
| 101YM0800X Counselor, Mental Health (Licence: FL MH16257) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 004022) | |
| Enumeration Date | 2013-01-24 | 
| Last Update Date | 2019-10-14 |