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 |