MS. TRACIE LYNN CAMLIN


Address: 630 Minnesota Ave Ste 204, Kansas City, KS 66101-2850
Phone: 9132811995

MS. TRACIE LYNN CAMLIN (NPI# 1861745382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861745382
Entity Type Individual
Full Name MS. TRACIE LYNN CAMLIN
Credential LCAC
Practice Address 630 Minnesota Ave Ste 204
Kansas City
KS 66101-2850
Practice Telephone 9132811995
Practice Fax Number 9132812317
Mailing Telephone 9132811995
Mailing Fax Number 9132812317
Enumeration Date 2012-10-22
Last Update Date 2012-10-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
261 KS Behavioral Health & Social Service Providers

Office Location

Street Address 630 MINNESOTA AVE STE 204
City KANSAS CITY
State KS
Zip Code 66101-2850

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1114351053 Falicia R Hooks Counselor 723 E 18th St, Kansas City, MO 64108-1511 2013-08-28
1922430909 Erin Linne Gaal Counselor 4311 N 110th Ter, Kansas City, KS 66109-3603 2013-08-01
1134487689 Menissa Hill-brox Counselor 7933 State Ave, Suite 203, Kansas City, KS 66112-2468 2012-05-02
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Competitor

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City KANSAS CITY
Zip Code 66101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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