Camper, Mary A
Camper, Mary A is an sole proprietor health care provider with primary practice located at 401 E 162Nd St Ste 103 , South Holland IL 60473-2237. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Driver, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Camper, Mary A can be contacted via phone (815) 418-6577.Contact Information
Primary practice address
401 E 162Nd St Ste 103
South Holland IL 60473-2237
Phone: (815) 418-6577
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 32188 | Illinois |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Driver | 172A00000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.026415 |
Profile Details
NPI number | 1417420696 |
---|---|
LBN Legal business name | Camper, Mary A |
Credentials | DD, PHD, LCSW, CADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 9th, 2019 |
Last updated | May 18th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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