Basic Information
| Provider Information | |||||||||
| NPI: | 1184973539 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROSEMARIE B. CAMACHO COUNSELING SERVICES, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 472 CHALAN SAN ANTONIO | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | TAMUNING | ||||||||
| State: | GU | ||||||||
| PostalCode: | 969133605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6716492080 | ||||||||
| FaxNumber: | 6716492082 | ||||||||
| Practice Location | |||||||||
| Address1: | 472 CHALAN SAN ANTONIO | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | TAMUNING | ||||||||
| State: | GU | ||||||||
| PostalCode: | 969133605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6716492080 | ||||||||
| FaxNumber: | 6716492082 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2012 | ||||||||
| LastUpdateDate: | 08/31/2012 | ||||||||
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| AuthorizedOfficialLastName: | CAMACHO | ||||||||
| AuthorizedOfficialFirstName: | ROSEMARIE | ||||||||
| AuthorizedOfficialMiddleName: | B. | ||||||||
| AuthorizedOfficialTitleorPosition: | IMFT | ||||||||
| AuthorizedOfficialTelephone: | 6716492080 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.A. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | IMF-89 | GU | Y | Agencies | Community/Behavioral Health |
No ID Information.