Matthews, Camille

Matthews, Camille is an individual health care provider with primary practice located at 904 E 20Th St Ste B, Farmington NM 87401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Matthews, Camille can be contacted via phone (505) 325-6532.

Contact Information

Primary practice address
904 E 20Th St Ste B Farmington NM 87401
Fax: (505) 325-0827
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-4114 New Mexico

Profile Details

NPI number 1932275559
LBN Legal business name Matthews, Camille
Credentials LISW BCD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 8th, 2007 - about 17 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932275559 NPPES
New Mexico MEDICAID 00067835

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